IndividualActive
Jessica Rist
NPI 1104519263 · School Counselor · Keizer, OR
Provider details
- NPI number
- 1104519263
- Entity type
- Individual
- Primary specialty
- School CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 162248 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
595 Chemawa Rd N
Keizer, OR 97303-5300
Phone: (503) 399-3147
Approximate (ZIP-level) locationGet directions
Mailing address
408 Sw Monroe Ave # 150
Corvallis, OR 97333-7210
Additional practice locations (1)
- 408 Sw Monroe Ave # 150Corvallis, OR 97333-7210Phone: (503) 564-1913
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-06-02
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.