DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACKLYN EWALD LPC

MEDICARE: JACKLYN EWALD LPC
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
1101Y00000XCounselor
2101YM0800XMental Health CounselorC.1902396OH

General Provider Information

NPI Number : 1003370578
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKLYN EWALD LPC
Provider Business Mailing Address
First Line : 21900 WILLAMETTE DR STE 202
Second Line :
City : WEST LINN
State : OR
Zip : 97068-3284
Country : US
Telephone Number : 503-653-0631
Fax Number :
Provider Business Practice Location Address
First Line : 21900 WILLAMETTE DR STE 202
Second Line :
City : WEST LINN
State : OR
Zip : 97068-3284
Country : US
Telephone Number : 503-653-0631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 06/02/2026

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908
Practice Phone: 301-816-6660
Practice Fax: 301-816-6308
1457019978 — DR. ANDREA MICHELLE ORTEGA-CRIDDLE PSY.D
Practice Location Address:
21900 WILLAMETTE DR STE 202
WEST LINN, OR
97068-3284
Practice Phone: 503-653-0631
Practice Fax:
1023742384 — EMILY KATARINA VANGAASBEEK
Practice Location Address:
21900 WILLAMETTE DR STE 202
WEST LINN, OR
97068-3284
Practice Phone: 503-653-0631
Practice Fax:
1972519429 — BRIDGET THERESA O'BOYLE-JORDAN CPNP
Practice Location Address:
21900 WILLAMETTE DR STE 202
WEST LINN, OR
97068-3284
Practice Phone: 503-653-0631
Practice Fax: 503-653-1464
1659411882 — ALICE MOODY PSY.D.
Practice Location Address:
21900 WILLAMETTE DR STE 202
WEST LINN, OR
97068-3284
Practice Phone: 503-653-0631
Practice Fax: 503-653-1464
1528108750 — JOHN THICKINS PSY.D.
Practice Location Address:
21900 WILLAMETTE DR STE 202
WEST LINN, OR
97068-3284
Practice Phone: 503-653-0631
Practice Fax: 503-653-0631

Directions to “ JACKLYN EWALD LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.