CONNOR C. JUNG
NPI 1366878480
Counselor - Professional in Portland, OR

Active since September 20, 2013PECOS Enrolled
709 NW EVERETT ST, PORTLAND, OR 97209(971) 352-8745 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connor C. Jung NPPES

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

CONNOR C. JUNG (NPI 1366878480) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7033) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366878480
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCONNOR C. JUNG
Location Address709 NW EVERETT STPortland, OR 97209-3517
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Sole ProprietorNo
Enumeration DateSeptember 20, 2013
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
NPI 1366878480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in OR · C7033 Licensed in TX · 71590
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12223 (TX)
709 NW EVERETT ST, Portland, OR 97209

Other Names 1

Former Name (1)Connor Coleman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Connor C. Jung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
709 NW EVERETT ST
PORTLAND, OR 97209
Counselor (Mental Health)
709 NW EVERETT ST
PORTLAND, OR 97209
Peer Specialist
709 NW EVERETT ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Case Manager/Care Coordinator
709 NW EVERETT ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209

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 Connor Jung's NPI number?

The NPI number for Connor Jung is 1366878480. It was assigned to this individual provider in the NPPES registry on September 20, 2013. The provider is also known as Connor Coleman.

Where is Connor Jung located?

Connor Jung practices at 709 NW Everett St, Portland, OR 97209. The listed phone number is (971) 352-8745.

What is Connor Jung's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Connor Jung enrolled in Medicare?

Yes. Connor Jung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Jung was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.