IndividualActive
Jennifer Portillo
NPI 1801446679 · Mental Health Counselor · Madras, OR
Provider details
- NPI number
- 1801446679
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Practice location
116 Se D St Ste a
Madras, OR 97741-1699
Phone: (541) 904-5216
Approximate (ZIP-level) locationGet directions
Mailing address
2229 Nw Ivy Ct
Redmond, OR 97756-8413
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2021-07-28
- Certified
- 2021-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.