Individual provider · Type 1 NPI

Jason Uthenwoldt

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1972197366 Active

Practice location

7105 NE 40th St
Vancouver, WA 98661-3058

Call (503) 535-1153 Map

Mailing address

4411 NE Emerson St
Portland, OR 97218-1537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972197366

Jason Uthenwoldt's National Provider Identifier is 1972197366, issued on Feb 25, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on May 12, 2025.