1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Peer Specialist
  6. NPI Profile

JOLENA MAE MALLORY CRM
NPI 1740778521
Peer Specialist in Portland, OR

Active since April 26, 2018
7916 SE FOSTER RD, PORTLAND, OR 97206(503) 946-8745 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jolena Mae Mallory Crm NPPES

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

JOLENA MAE MALLORY CRM (NPI 1740778521) is an individual peer specialist in Portland, Oregon, licensed in Oregon (17-CRM-213) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1740778521
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJOLENA MAE MALLORYCredential: CRM
Location Address7916 SE FOSTER RDPortland, OR 97206-4289
Mailing Address7916 Se Foster RdPortland, OR 97206-4289 · (503) 946-8745
Phone(503) 946-8745
Sole ProprietorNo
Enumeration DateApril 26, 2018
✔ NPI 1740778521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 17-CRM-213
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
7916 SE FOSTER RD, Portland, OR 97206
Open in Google Maps ↗

Other Identifiers 1

Medicaid17-CRM-213OR

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.

SAMANTHA BIEBER M.S.
Case Manager/Care Coordinator
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (503) 374-4873
JOHN MATTI
Peer Specialist
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (503) 465-2749
MIRIAM SHEKINAH JOY RAYMOND
Case Manager/Care Coordinator
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (971) 407-4131
BRIANNE MORGAN
Counselor (Addiction (Substance Use Disorder))
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (503) 465-2749
MEGAN RAINEY
Peer Specialist
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (503) 465-2749
BEN SOLEIM
Behavior Technician
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (360) 560-0404
CATHERINE ELAINE VAN VALKENBURGH CADC
Counselor (Addiction (Substance Use Disorder))
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (503) 465-2749
KEITH L LAMPTON
Behavior Technician
7916 SE FOSTER RD
PORTLAND, OR 97206
Multnomah County (503) 422-6547

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 Jolena Mallory's NPI number?

The NPI number for Jolena Mallory is 1740778521. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Jolena Mallory located?

Jolena Mallory practices at 7916 SE Foster Rd, Portland, OR 97206. The listed phone number is (503) 946-8745.

What is Jolena Mallory's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jolena Mallory was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.