JASON UTHENWOLDT
Counselor (Addiction (Substance Use Disorder))

Address: 4411 Ne Emerson St, Portland, OR 97218-1537

JASON UTHENWOLDT (NPI# 1972197366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972197366
Entity Type Individual
Full Name JASON UTHENWOLDT
Gender Male
Practice Address 4411 Ne Emerson St
Portland
OR 97218-1537
Practice Telephone 5035351153
Mailing Address 4411 Ne Emerson St
Portland
OR 97218-1537
Certification Date 2021-02-25
Enumeration Date 2021-02-25
Last Update Date 2021-02-25
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1001787210017872 OR BCBS Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address Jason.Uthenwoldt@depaultc.org (Work email) 4411 Ne Emerson St, Portland, OR 972181537

Office Location

Street Address 4411 NE EMERSON ST
City PORTLAND
State OR
Zip Code 97218-1537

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063007797 Courtney Nicole Pulice Social Worker · Clinical 4411 Ne Emerson St, Portland, OR 97218-1537 2021-03-04
1922696483 Paulette Suhr Counselor · Addiction (Substance Use Disorder) 4411 Ne Emerson St, Portland, OR 97218-1537 2021-01-08
1912038183 Naomi Joy Caster · Naomi Joy Caster Marriage & Family Therapist 4411 Ne Emerson St, Portland, OR 97218-1537 2007-03-08

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1043852726 Alex Margarito Specialist/Technologist · Athletic Trainer 6801 Necornfoot Rd, Fpo, AA 97218 2019-10-14
1952965295 Morgan Josephine Lee White Counselor · Mental Health 6601 Ne 78th Ct Ste A3, Portland, OR 97218 2019-04-23
1083101943 Joyce M Larkins Specialist · Prosthetics Case Management 5852 Ne 42nd Ave., Portland, OR 97218 2018-04-17
1740709658 Alyssa M Cavalier Licensed Practical Nurse 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 2017-09-12
1093266405 Jean Hansen Counselor · Addiction (Substance Use Disorder) 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 2016-10-20
1952760670 Michelle Nicole Lynch Peer Specialist 4310 Ne Killingsworth Street, Depaul Treatment Centers, Portland, OR 97218 2016-02-23
1174913636 Kirsten Kelly-Chambers Counselor · Mental Health 4310 Ne Killinsworth Street, Portland, OR 97218 2015-02-04
1902203599 Ruth M Lamb · Ruth M Moore Counselor · Mental Health 5023 Ne Killingsworth, Portland, OR 97218 2014-11-25
1538589213 Jennifer G Marino · Jennifer Genese Marino Adult Companion 5023 Ne Killingsworth, Portland, OR 97218 2014-04-22
1386962074 Kathleen Kuhlmey Sheridan · Kathleen Joan Sheridan Nurse Practitioner · Psychiatric/Mental Health 5215 Ne 52nd Ave, Portland, OR 97218 2010-05-06
Find all providers in zip 97218

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912598863 Daley Lentz 420 Cumberland Ave, Portland, ME 04101-2823 2021-02-02
1972193332 Jamie Mazhnikova 1316 Se 12th Ave, Portland, OR 97214-3604 2021-01-20
1851980338 Marie Coyner 1316 Se 12th Ave, Portland, OR 97214-3604 2021-01-11
1922696483 Paulette Suhr 4411 Ne Emerson St, Portland, OR 97218-1537 2021-01-08
1912595646 Renee Gestalt 6025 Se Belmont St, Portland, OR 97215-1927 2021-01-07
1114514742 Ella Iliana Smith · Ella Iliana Grant 6025 Se Belmont St, Portland, OR 97215-1927 2020-12-29
1720674096 Rodger Ego 10920 Sw Barbur Blvd, Portland, OR 97219-8600 2020-12-21
1902493240 Stephanie Nicole Wagner 2600 Se Belmont St, Portland, OR 97214-2916 2020-12-21
1033705090 Mariah Myton 1312 Sw Washington St, Portland, OR 97205-2327 2020-12-14
1700489739 Kendra Michelle Mccallister 420 Cumberland Ave, Portland, ME 04101-2823 2020-11-20
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.