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JESSICA ANNE CARROLL
NPI 1780196634
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since November 01, 2017
14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Anne Carroll NPPES

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

JESSICA ANNE CARROLL (NPI 1780196634) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1780196634
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ANNE CARROLL
Location Address14600 NW CORNELL RDPortland, OR 97229-5442
Mailing Address21417 Se Oak StGresham, OR 97030-8438
Phone(503) 645-3581
Sole ProprietorNo
Enumeration DateNovember 1, 2017
✔ NPI 1780196634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14600 NW CORNELL RD, Portland, OR 97229
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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.

MS. LUCRECIA FARIAS
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. SANDRA GAIL BUMPUS MSW
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 644-2545
MEGAN MARSHALL MA, LPCI
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. DEBORAH CHRISTINE CASE
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
ABRAHAN VEGA QMHP
Counselor
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
RADIANCE ANN SCHROETER
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JAMES GURULE LPC
Counselor (Professional)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JENNIFER LYNN KELLY MA
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581

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 Jessica Carroll's NPI number?

The NPI number for Jessica Carroll is 1780196634. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Jessica Carroll located?

Jessica Carroll practices at 14600 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 645-3581.

What is Jessica Carroll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Carroll was last updated on November 1, 2017. 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.