Individual provider · Type 1 NPI

Deborah Ann Jewell, CNA2, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1467086215 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Call (971) 322-5295 Map

Mailing address

5627 NE Simpson St
Portland, OR 97218-2329

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850X19-QMHA-I-00257 (OR)
Nurse's Aide 376K00000X201110681CNA (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1467086215

Deborah Ann Jewell, CNA2, QMHA's National Provider Identifier is 1467086215, issued on Mar 1, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Sep 21, 2021.