Individual
JENNIFER R PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
927 COUNTRY CLUB RD STE 200, EUGENE, OR 97401
(541) 204-0884
Mailing address
927 COUNTRY CLUB RD STE 200, EUGENE, OR 97401-2272
(541) 204-0884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
C3331
OR
Other
Enumeration date
10/15/2010
Last updated
12/06/2021
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