Individual provider · Type 1 NPI
Bryan Jensen Ko
Mental Health Counselor · Portland, OR
NPI number
1265008171
Active
Practice location
2308 SE 40th Ave
Portland, OR 97214-5922
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 1265008171
Bryan Jensen Ko's National Provider Identifier is 1265008171, issued on Jun 1, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 14, 2026.