Organization
BREAKING GROUND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER YERTY LPC (OWNER)
(503) 208-5536
Entity
Organization
Contact information
Practice address
6536 SE DUKE ST, PORTLAND, OR 97206-6665
(503) 208-5536
Mailing address
6547 SE 68TH AVE, PORTLAND, OR 97206-7315
(503) 974-0934
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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