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

Jaclyn Max

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821811225

Jaclyn Max is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

21440 SE Stark St
Gresham, OR 97030-2024
Phone: (971) 427-0466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-24-4370 (OR)

Record details

NPI number1821811225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address11010 Se Division St Ste 200, Portland, OR 97266-6400

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