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JAELITHE AZURE FORMWAY-NELSON
NPI 1336679448
Counselor - Mental Health in Tigard, OR

Active since June 13, 2017
8915 SW CENTER ST., TIGARD, OR 97223(503) 726-3690 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Jaelithe Azure Formway-nelson NPPES

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

JAELITHE AZURE FORMWAY-NELSON (NPI 1336679448) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1336679448
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAELITHE AZURE FORMWAY-NELSON
Location Address8915 SW CENTER ST.Tigard, OR 97223
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Phone(503) 726-3690
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1336679448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8915 SW CENTER ST., Tigard, OR 97223
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Other Names 1

Former Name (1)Jaelithe Azure Formway-huber

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY HILKEN
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 726-3740
TISA BROWN
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 726-3740
LILLIAN RANGEL B.A.
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 726-3740
SARA MCWILLIAMS
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 726-3740
MISS MELISSA MILLER
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 726-3806
DAINA TAGUE LMSW
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 726-3690
BRITTANY CHEESMAN
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 890-0559
MS. CANDISS VANNA RAY JUNE MONAGON
Counselor (Mental Health)
8915 SW CENTER ST.
TIGARD, OR 97223
Washington County (503) 901-3375

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 Jaelithe Formway-nelson's NPI number?

The NPI number for Jaelithe Formway-nelson is 1336679448. It was assigned to this individual provider in the NPPES registry on June 13, 2017. The provider is also known as Jaelithe Azure Formway-Huber.

Where is Jaelithe Formway-nelson located?

Jaelithe Formway-nelson practices at 8915 SW Center St., Tigard, OR 97223. The listed phone number is (503) 726-3690.

What is Jaelithe Formway-nelson'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 Jaelithe Formway-nelson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.