Individual
JENNIFER WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(458) 313-0616
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(458) 313-0616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
101YP2500X
Professional Counselor
Primary
R9820
OR
Other
Enumeration date
09/08/2025
Last updated
08/06/2026
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