Jessica Joanne Etcheberry, LICSW Valid NPI

Individual provider · Clinical Social Worker · Wilsonville, OR

NPI

1427316793

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LW61185614 (WA)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-04-24

Last updated

2025-09-02