# JMOSSMFTLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JMossMFT LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760386247
- **Authorized official:** JENNIFER MOSS MFT (OWNER)
- **Authorized official phone:** (808) 281-1494

## Contact information

- **Practice address:** 10620 SE LEXINGTON ST, PORTLAND, OR 97266-6312
- **Practice address phone:** (808) 281-1494
- **Mailing address:** 10620 SE LEXINGTON ST, PORTLAND, OR 97266-6312
- **Mailing address phone:** (808) 281-1494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2026
- **Last updated:** 10/07/2026