Individual
JESSICA CARMEN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC I
Contact information
Practice address
9268 SE CLINTON ST, PORTLAND, OR 97266-1456
(503) 872-0480
(503) 872-0481
Mailing address
2830 SE 127TH AVE, A233, PORTLAND, OR 97236-3183
(503) 872-0480
(503) 872-0481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
QMHA
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
105-11-25
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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