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VALYN LEE KEITH-JACKSON CADC 1
NPI 1609631456
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since February 20, 2024
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valyn Lee Keith-jackson Cadc 1 NPPES

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

VALYN LEE KEITH-JACKSON CADC 1 (NPI 1609631456) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Maryland (SC3245) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1609631456
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameVALYN LEE KEITH-JACKSONCredential: CADC 1
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (971) 260-0355
Phone(971) 274-3757
Fax(503) 912-5740
Sole ProprietorYes
Enumeration DateFebruary 20, 2024
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1609631456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in MD · SC3245✔ Licensed in OR · 24-R-29
620 NE 2ND ST, Gresham, OR 97030
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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.

KATHY A LITVIN CSWA/QMHP-C
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
MISS ELIZABETH L VALADEZ CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
CHRISTINA H COLLIER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JESSICA A TRAILER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DANIELLE CURTIS CRM-II CADC-I QMHA-R
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
ALBIE M LEMOS CADC-R/CSWA
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JUDITH YADIRA BRACAMONTES QMHA-R
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DUANE W KOWALSKI CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757

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 Valyn Keith-jackson's NPI number?

The NPI number for Valyn Keith-jackson is 1609631456. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Valyn Keith-jackson located?

Valyn Keith-jackson practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Valyn Keith-jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Valyn Keith-jackson was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.