JASMINE PETTET CADC1
NPI 1649673955
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since September 30, 2014
1132 SW 13TH AVE, PORTLAND, OR 97205(503) 793-7389 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmine Pettet Cadc1 NPPES

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

JASMINE PETTET CADC1 (NPI 1649673955) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (130942) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1649673955
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJASMINE PETTETCredential: CADC1
Location Address1132 SW 13TH AVEPortland, OR 97205-1703
Mailing Address1132 Sw 13th AvePortland, OR 97205-1703 · (503) 793-7389
Sole ProprietorNo
Enumeration DateSeptember 30, 2014
NPI 1649673955 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
License Licensed in OR · 130942
1132 SW 13TH AVE, Portland, OR 97205

Other Identifiers 1

Medicaid1568401347OR

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.

Peer Specialist
1132 SW 13TH AVE
PORTLAND, OR 97205
Social Worker (Clinical)
1132 SW 13TH AVE
PORTLAND, OR 97205
Nurse Practitioner (Family)
1132 SW 13TH AVE
PORTLAND, OR 97205
Pharmacist
1132 SW 13TH AVE
PORTLAND, OR 97205
Case Manager/Care Coordinator
1132 SW 13TH AVE
PORTLAND, OR 97205
Social Worker
1132 SW 13TH AVE
PORTLAND, OR 97205
Massage Therapist
1132 SW 13TH AVE
PORTLAND, OR 97205
Peer Specialist
1132 SW 13TH AVE
PORTLAND, OR 97205

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 Jasmine Pettet's NPI number?

The NPI number for Jasmine Pettet is 1649673955. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Jasmine Pettet located?

Jasmine Pettet practices at 1132 SW 13th Ave, Portland, OR 97205. The listed phone number is (503) 793-7389.

What is Jasmine Pettet'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 Jasmine Pettet was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.