Individual
JAMES A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,CADC II
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 228-9229
(503) 228-9558
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00054975
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-09-60
OR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/21/2006
Last updated
12/21/2017
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