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Contact Information

JEANNE L CARLSON, PhD
10531 SW CAPITOL HWY
PORTLAND, OR97219-6812
 Phone: 503-916-5681
 Fax: 503-916-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEANNE L CARLSON · (Female)

NPI # 1720298656
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1252
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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