Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Eliesa Stivers, NDLAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205301975

Dr. Jacqueline Eliesa Stivers, NDLAC is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

2318 NE Mlk Jr Blvd
Portland, OR 97212-3715
Phone: (503) 335-8611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 Se 11th Ave Ste 226, Portland, OR 97214 — (971) 279-4454

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 4216 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (OR)
Acupuncturist Taxonomy 171100000X · Licence AC190894 (OR)
General Practice Physician Taxonomy 208D00000X · Licence 4216 (OR)

Record details

NPI number1205301975
Entity typeIndividual (Type 1)
GenderFemale
Credentials NDLAC
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

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