Individual provider · Type 1 NPI

Jackie Hamm, MA

Professional Counselor · Portland, OR

NPI number 1114507936 Active

Practice location

10424 SE Cherry Blossom Dr Ste K
Portland, OR 97216-2801

Call (971) 915-4994 Map

Fax (971) 484-1937

Mailing address

4216 NE 114th Ave
Portland, OR 97220-1585

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC9749 (OR)

Professional Counselor: Definition to come...

Other professional counselor providers in Portland

See all in Portland →

About NPI 1114507936

Jackie Hamm, MA's National Provider Identifier is 1114507936, issued on Apr 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on May 13, 2025.