Individual provider · Type 1 NPI

Jazmin Roque

Mental Health Counselor · Portland, OR

NPI number 1902698640 Active

Practice location

3615 NE Grand Ave
Portland, OR 97212-2104

Mailing address

5316 E Burnside St Apt 14
Portland, OR 97215-1280

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

34 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1902698640

Jazmin Roque's National Provider Identifier is 1902698640, issued on May 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 19, 2025.