MEDICARE: PJ COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750227476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PJ COUNSELING LLC

Provider Business Mailing Address
First Line	:	13300 NE SAN RAFAEL ST STE 222
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-3123
Country	:	US
Telephone Number	:	971-256-7985
Fax Number	:	971-256-9398

Provider Business Practice Location Address
First Line	:	13300 NE SAN RAFAEL ST STE 222
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-3123
Country	:	US
Telephone Number	:	971-256-7985
Fax Number	:	971-256-9398

Authorized Official
Title or Position	:	ORGANIZER
Name	:	MR. LOVETTE G DOBSON
Credential	:
Telephone Number	:	888-462-3453

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/25/2026

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Directions to “PJ COUNSELING LLC ” Practice Location

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