Jacklyn Ewald, LPC - Counselor in West Linn, OR

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Jacklyn Ewald, LPC is a Psychologist - Health Service based in West Linn, Oregon. Jacklyn Ewald is licensed to practice in Oregon (license number R389) and her current practice location is 21900 Willamette Dr Ste 202, West Linn, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 653-0631.

NPI number for Jacklyn Ewald is 1003370578 and her current mailing address is 21900 Willamette Dr Ste 202, West Linn, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003370578.

Contact Information

Jacklyn Ewald, LPC
21900 Willamette Dr Ste 202,
West Linn, OR 97068-3284
(503) 653-0631
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJacklyn Ewald
GenderFemale
SpecialityPsychologist - Health Service
Location21900 Willamette Dr Ste 202, West Linn, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003370578
  • Provider Enumeration Date: 01/29/2019
  • Last Update Date: 07/12/2026

Medical Identifiers

Medical identifiers for Jacklyn Ewald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003370578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103TH0100XPsychologist - Health Service R389 (Oregon)Primary
101YM0800XCounselor - Mental Health C.1902396 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacklyn Ewald is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacklyn Ewald, LPC
21900 Willamette Dr Ste 202,
West Linn, OR 97068-3284

Ph: (503) 653-0631		Jacklyn Ewald, LPC
21900 Willamette Dr Ste 202,
West Linn, OR 97068-3284

Ph: (503) 653-0631

Reviews and Comments


Psychologist in West Linn, OR


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