Individual provider · Type 1 NPI

Jacklyn Ewald, LPC

Health Service Psychologist · West Linn, OR

NPI number 1003370578 Active

Practice location

21900 Willamette Dr Ste 202
West Linn, OR 97068-3284

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Health Service Psychologist Primary 103TH0100XR389 (OR)
Mental Health Counselor 101YM0800XC.1902396 (OH)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1003370578

Jacklyn Ewald, LPC's National Provider Identifier is 1003370578, issued on Jan 29, 2019. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in West Linn, OR. The record was last updated on Jul 12, 2026.