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

Jessica De Clerck

Individual provider Counselor · NPI 1639912546

Jessica De Clerck is a Counselor in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1215 SW 18th Ave
Portland, OR 97205-1711
Phone: (971) 238-4789
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1639912546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 17, 2024

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