Organization · Type 2 NPI

Joleen Ross, Lcsw, Cadc I

Community/Behavioral Health Agency · Portland, OR

NPI number 1942745898 Active

Practice location

1216 NW 21st Ave
Portland, OR 97209-1609

Call (971) 322-4265 Map

Mailing address

15119 NW Nightshade Dr
Portland, OR 97229-1573

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X5773 (OR)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1942745898

Joleen Ross, Lcsw, Cadc I's National Provider Identifier is 1942745898, issued on Jan 2, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Jan 2, 2017.