Provider Demographics
NPI:1639658487
Name:MORALES, JORDYN BRITTANI (LCSW)
Entity type:Individual
Prefix:
First Name:JORDYN
Middle Name:BRITTANI
Last Name:MORALES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8383 NE SANDY BLVD STE 440
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-4986
Mailing Address - Country:US
Mailing Address - Phone:971-373-5917
Mailing Address - Fax:
Practice Address - Street 1:10615 SE CHERRY BLOSSOM DR STE 250
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-3103
Practice Address - Country:US
Practice Address - Phone:971-373-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL119041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical