Provider Demographics
NPI:1174150536
Name:LUVSHIS, JESSICA ANN (MAS-MFT, QMHP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANN
Last Name:LUVSHIS
Suffix:
Gender:F
Credentials:MAS-MFT, QMHP
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:SCHNUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 JEFFERSON PARKWAY
Mailing Address - Street 2:APT. F10
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035
Mailing Address - Country:US
Mailing Address - Phone:516-732-5750
Mailing Address - Fax:
Practice Address - Street 1:424 NE 22ND AVE.
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2809
Practice Address - Country:US
Practice Address - Phone:971-202-8060
Practice Address - Fax:503-408-5201
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
OR20-QMHP-R-0209106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist