Burrell, Jennifer Lynne

Burrell, Jennifer Lynne is an sole proprietor health care provider with primary practice located at 1906 Sw Madison St Ste 200 , Portland OR 97205-1760. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Burrell, Jennifer Lynne can be contacted via phone (503) 730-5339.

Contact Information

Primary practice address
1906 Sw Madison St Ste 200 Portland OR 97205-1760
Phone: (503) 730-5339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R4873 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X R4874 Oregon

Profile Details

NPI number 1093239287
LBN Legal business name Burrell, Jennifer Lynne
Credentials MS, LPC/LMFT INTERN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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