BRANDON JETT


Address: 537 Se Alder St, Portland, OR 97214-2231
Phone: 5038413157

BRANDON JETT (NPI# 1235531476) 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) 1235531476
Entity Type Individual
Full Name BRANDON JETT
Credential CADC-II, QMHA-I
Practice Address 537 Se Alder St
Portland
OR 97214-2231
Mailing Address Po Box 16756
Portland
OR 97292-0576
Practice Telephone 5038413157
Mailing Telephone 5036542749
Mailing Fax Number 5032082596
Enumeration Date 2014-09-18
Last Update Date 2019-05-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16-04-22 OR Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 537 SE ALDER ST
City PORTLAND
State OR
Zip Code 97214-2231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316091952 Julia Aretha Phillips Counselor 537 Se Alder St, Portland, OR 97214-2231 2007-01-22
1336690189 Charles Freemen Edwards Peer Specialist 537 Se Alder St, Portland, OR 97214-2231 2016-10-17
1689046369 Jason Trujillo Peer Specialist 537 Se Alder St, Portland, OR 97214-2231 2015-10-21
1073981569 David Rugh Peer Specialist 537 Se Alder St, Portland, OR 97214-2231 2015-09-14
1073981866 Tammy Truijens Counselor 537 Se Alder St, Portland, OR 97214-2231 2015-09-10
1396113130 Susan Schreiber Counselor 537 Se Alder St, Portland, OR 97214-2231 2015-09-10
1902274871 Troy Ford Peer Specialist 537 Se Alder St, Portland, OR 97214-2231 2015-09-09
1912309691 Alex Deshler Counselor 537 Se Alder St, Portland, OR 97214-2231 2014-09-24
1346642378 Mark Held Counselor 537 Se Alder St, Portland, OR 97214-2231 2014-09-22
1033511407 Kelsey Smith Payne Counselor 537 Se Alder St, Portland, OR 97214-2231 2014-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1336772243 Alexandra Mcbryde Acupuncturist 959 Se Division St, #315, Portland, OR 97214 2020-02-19
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1639616436 Erin Elizabeth Weaver Acupuncturist 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 2017-01-31
1780126045 Katherine Aravamudan, Lpc, LLC Community/Behavioral Health 1312 E. Burnside Street, Portland, OR 97214 2016-11-17
1003358441 Michelle Jean Meadows Massage Therapist 2804 Se Lincoln St, Portland, OR 97214 2016-11-16
1629429311 Stephanie Tolentino Counselor 605 Se Cesar E Chavez Blvd., Portland, OR 97214 2016-06-24
1790141166 Marian Iris Dixon Massage Therapist 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 2016-01-14
1194194589 Lutheran Community Services Northwest Community/Behavioral Health 605 Se Cesar E Chavez Bld, Portland, OR 97214 2015-09-16
1497123566 Michele R. Stokes Specialist 2311 East Burnside B1, Portland, OR 97214 2015-09-08
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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
1477163657 Kevin Charles Reiser Counselor 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 2020-08-03
1881203628 Beau Curtiss Counselor 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 2020-07-28
1851916886 Jonathan Cross Counselor 49 Montrose Ave Apt 3, Portland, ME 04103-2442 2020-06-16
1639703960 Elizabeth Ann Anderson Counselor 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 2020-02-25
1194356618 Deforrest Kwesi Jackson Counselor 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 2020-02-03
1760012942 Jesse Decker Counselor 7015 N Boston Ave, Portland, OR 97217-5711 2020-01-16
1740829076 Ryan Christianson Counselor 2707 Ne Flanders St, Portland, OR 97232-3159 2020-01-03
1083264477 Kayla Rose Paris Counselor 420 Cumberland Ave, Portland, ME 04101-2823 2019-09-17
1275193260 Anna Khval Counselor 1500 Se 122nd Ave, Portland, OR 97233-1207 2019-06-20
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
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Competitor

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City PORTLAND
Zip Code 97214

Improve Information

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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.

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