JONNA ROBERTSEN
NPI 1790452589
Peer Specialist in Portland, OR

Active since August 27, 2021
2410 SE 10TH AVE, PORTLAND, OR 97214(503) 383-9643 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Jul 3, 2023, Aug 27, 2021 (3 updates tracked since 2021).

About Jonna Robertsen NPPES

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

JONNA ROBERTSEN (NPI 1790452589) is an individual peer specialist in Portland, Oregon, licensed in Oregon (104463) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1790452589
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJONNA ROBERTSEN
Location Address2410 SE 10TH AVEPortland, OR 97214-4624
Mailing Address2410 Se 10th AvePortland, OR 97214-4624 · (503) 383-9643
Sole ProprietorNo
Enumeration DateAugust 27, 2021
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1790452589 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 · 104463
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.
2410 SE 10TH AVE, Portland, OR 97214

Other Names 1

Other Name (5)Jay Robertsen

Other Providers at the Same Location NPPES 12

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

Occupational Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Peer Specialist
2410 SE 10TH AVE
PORTLAND, OR 97214
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Peer Specialist
2410 SE 10TH AVE
PORTLAND, OR 97214
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Peer Specialist
2410 SE 10TH AVE
PORTLAND, OR 97214
Counselor (Mental Health)
2410 SE 10TH AVE
PORTLAND, OR 97214

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 Jonna Robertsen's NPI number?

The NPI number for Jonna Robertsen is 1790452589. It was assigned to this individual provider in the NPPES registry on August 27, 2021. The provider is also known as Jay Robertsen.

Where is Jonna Robertsen located?

Jonna Robertsen practices at 2410 SE 10th Ave, Portland, OR 97214. The listed phone number is (503) 383-9643.

What is Jonna Robertsen'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 Jonna Robertsen was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.