NPI 1184461345

Jordan Taylor Nickel-Dubin, MA

Practitioner Drama Therapist Portland, OR

Practice location

Address: 811 NW 19th Ave # 301, Portland, OR 97209-1401
Phone: (503) 866-0299
Mailing address: 1725 SW Salmon St APT 409, Portland, OR 97205-3845

Registered specialties (2)

Drama Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 101200000X

Other Drama Therapist providers in Oregon →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1184461345
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2024
Record last updated: 13 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.