Healthcare Provider Details

I. General information

NPI: 1134628571
Provider Name (Legal Business Name): JENNA LEE BROWN ALBRIGHT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4531 SE BELMONT ST STE 114
PORTLAND OR
97215-1675
US

IV. Provider business mailing address

5441 S MACADAM AVE STE 5585
PORTLAND OR
97239-6106
US

V. Phone/Fax

Practice location:
  • Phone: 503-941-0166
  • Fax: 971-275-1944
Mailing address:
  • Phone: 503-541-0166
  • Fax: 971-275-1944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number098000288RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201907778NP-PP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN60571383
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: