MICHAEL DAVID JOLLIFFE LPC INTERN
NPI 1326631060
Counselor - Mental Health in Portland, OR

Active since February 13, 2021
3642 SE 33RD AVE, PORTLAND, OR 97202(650) 773-9674 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael David Jolliffe Lpc Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID JOLLIFFE LPC INTERN (NPI 1326631060) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R6399) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1326631060
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL DAVID JOLLIFFECredential: LPC INTERN
Location Address3642 SE 33RD AVEPortland, OR 97202-3488
Mailing Address3642 Se 33rd AvePortland, OR 97202-3488 · (650) 773-9674
Sole ProprietorYes
Enumeration DateFebruary 13, 2021
NPPES CertifiedFebruary 13, 2021
NPI 1326631060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · R6399
3642 SE 33RD AVE, Portland, OR 97202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Jolliffe's NPI number?

The NPI number for Michael Jolliffe is 1326631060. It was assigned to this individual provider in the NPPES registry on February 13, 2021.

Where is Michael Jolliffe located?

Michael Jolliffe practices at 3642 SE 33rd Ave, Portland, OR 97202. The listed phone number is (650) 773-9674.

What is Michael Jolliffe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Jolliffe was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.