JACLYN GRACE EVANS
NPI 1831743293
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since July 24, 2019
1122 NE 122ND AVE, PORTLAND, OR 97230(855) 237-9882 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaclyn Grace Evans NPPES

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

JACLYN GRACE EVANS (NPI 1831743293) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1831743293
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACLYN GRACE EVANS
Location Address1122 NE 122ND AVEPortland, OR 97230-2081
Mailing Address1122 Ne 122nd Ave Ste A102Portland, OR 97230-2082 · (855) 337-9882
Sole ProprietorNo
Enumeration DateJuly 24, 2019
NPI 1831743293 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
1122 NE 122ND AVE, Portland, OR 97230

Other Identifiers 1

OtherT-19-378OR · Cadc

Other Providers at the Same Location NPPES 3

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

Naturopath
1122 NE 122ND AVE, SUITE A -205
PORTLAND, OR 97230
Counselor (Addiction (Substance Use Disorder))
1122 NE 122ND AVE
PORTLAND, OR 97230
Substance Abuse Rehabilitation Facility
1122 NE 122ND AVE, A102
PORTLAND, OR 97230

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 Evans's NPI number?

The NPI number for Jaclyn Evans is 1831743293. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Jaclyn Evans located?

Jaclyn Evans practices at 1122 NE 122nd Ave, Portland, OR 97230. The listed phone number is (855) 237-9882.

What is Jaclyn Evans'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 Evans was last updated on July 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.