Most Relevant Information
Provider Data
| NPI Number: | 1003311283 |
| Provider Name: | JORDON RICHARD LOVELL MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C7024 |
Most Important Dates
| Enumeration Date: | 03/28/2018 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
7000 SW VARNS ST
PORTLAND
OR
972238145
Practice Location Phone/Fax
| Phone: | 5037490200 |
| Fax: |
Provider Mailing Location
2610 NE 107TH AVE
PORTLAND
OR
972202821
Provider Mailing Phone/Fax
| Phone: | 1541840358 |
| Fax: |