Individual provider · Type 1 NPI

Jennifer Rose Portillo

Mental Health Counselor · Madras, OR

NPI number 1801446679 Active

Practice location

116 SE D St Ste A
Madras, OR 97741-1699

Call (541) 904-5216 Map

Mailing address

2229 NW Ivy Ct
Redmond, OR 97756-8413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Social Worker 104100000XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Madras

See all in Madras →

About NPI 1801446679

Jennifer Rose Portillo's National Provider Identifier is 1801446679, issued on Sep 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madras, OR. The record was last updated on Jul 28, 2021.