Individual
NICOLE ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(503) 477-8495
(503) 208-2233
Mailing address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(503) 477-8495
(503) 208-2233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-05-18
OR
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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