Jessica Carmen Harrison, BS, CADC I is a
Case Manager/care Coordinator based in Portland, Oregon. Jessica Carmen Harrison is licensed to practice in * (Not Available) (license number ) and her current practice location is
9268 Se Clinton St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 872-0480.
NPI number for Jessica Carmen Harrison is 1417094129 and her current mailing address is 2830 Se 127th Ave, A233, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417094129.
Healthcare Provider's Profile
| Full Name | Jessica Carmen Harrison |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 9268 Se Clinton St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417094129
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jessica Carmen Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417094129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | QMHA (Oregon) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 105-11-25 (Oregon) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Carmen Harrison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Carmen Harrison, BS, CADC I
2830 Se 127th Ave, A233,
Portland, OR 97236-3183
Ph: (503) 872-0480 | Jessica Carmen Harrison, BS, CADC I
9268 Se Clinton St,
Portland, OR 97266-1456
Ph: (503) 872-0480 |
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