Individual provider · Type 1 NPI

Jordyn Lair

Mental Health Counselor · Portland, OR

NPI number 1902457666 Active

Practice location

17710 NE Halsey St
Portland, OR 97230-6734

Fax (971) 293-3469

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902457666

Jordyn Lair's National Provider Identifier is 1902457666, issued on Sep 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 9, 2020.