Individual provider · Type 1 NPI

Jennifer Wisdom

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1992331466 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Call (503) 239-8400 Map

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 1992331466

Jennifer Wisdom's National Provider Identifier is 1992331466, issued on Mar 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2020.