Individual provider · Type 1 NPI
Jennell Roden
Professional Counselor · Portland, OR
NPI number
1376401943
Active
Practice location
3611 SE 20th Ave Ste 202
Portland, OR 97202-2967
Mailing address
16333 SE Dagmar Rd
Portland, OR 97267-6356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | R12591 (OR) |
Professional Counselor: Definition to come...
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About NPI 1376401943
Jennell Roden's National Provider Identifier is 1376401943, issued on Jan 13, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jan 13, 2026.