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JACLYN MAX
NPI 1821811225
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since November 04, 2024
21440 SE STARK ST, GRESHAM, OR 97030(971) 427-0466 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Max NPPES

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

JACLYN MAX (NPI 1821811225) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (T-24-4370) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1821811225
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACLYN MAX
Location Address21440 SE STARK STGresham, OR 97030-2024
Mailing Address11010 Se Division St Ste 200Portland, OR 97266-6400
Phone(971) 427-0466
Sole ProprietorNo
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1821811225 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 · T-24-4370
21440 SE STARK ST, Gresham, OR 97030
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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.

REBECCA LYNN PATTERSON CRM
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
EMMA SORNSON
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 610-5722
DONAVAN J SALSBURY CRM
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
REGINA THERESA BURCK QMHP
Counselor (Mental Health)
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
JOSEY RAE ANTHONY-MOORE CRM,CADC-R
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
MR. JARREN JAMES TROY ANDERSON
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
BRITTANY LYONS CADC-R, PWS
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 610-7363
ANTHONY LOUIE GARCIA CRM, CADC-R
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623

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 Jaclyn Max's NPI number?

The NPI number for Jaclyn Max is 1821811225. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Jaclyn Max located?

Jaclyn Max practices at 21440 SE Stark St, Gresham, OR 97030. The listed phone number is (971) 427-0466.

What is Jaclyn Max'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 Jaclyn Max was last updated on November 4, 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.