Provider Demographics
NPI:1104191451
Name:BRINGS PLENTY, JADE ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:JADE
Middle Name:ELIZABETH
Last Name:BRINGS PLENTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SE 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2569
Mailing Address - Country:US
Mailing Address - Phone:503-489-9280
Mailing Address - Fax:
Practice Address - Street 1:3050 SE DIVISION ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1898
Practice Address - Country:US
Practice Address - Phone:503-489-9280
Practice Address - Fax:503-715-5469
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC8935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional