Individual provider · Type 1 NPI
Jai Medina
Mental Health Counselor · Portland, OR
NPI number
1144605296
Active
Practice location
11640 SW Boones Ferry Rd
Portland, OR 97219-7736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1144605296
Jai Medina's National Provider Identifier is 1144605296, issued on Jul 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 29, 2015.