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Dr. Jeanne Lynne Carlson, PHD
Prescribing (Medical) Psychologist in Portland, Oregon
NPI 1720298656

Jeanne Lynne Carlson is a Prescribing (Medical) Psychologist based in Portland, OR and is specialized in Prescribing (Medical). Jeanne Lynne Carlson practices in Portland, OR and has the professional credentials of PHD. The NPI Number for Jeanne Lynne Carlson is 1720298656 and holds a License No. 1252 (Oregon).

The current practice location address for Jeanne Lynne Carlson is 10531 Sw Capitol Hwy, Portland, OR and can be reached out via phone at 503-916-5681 and via fax at 503-916-2655.

Location: 10531 Sw Capitol Hwy, Portland, OR, 97298-0563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720298656
Provider Name
Jeanne Lynne Carlson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
10531 Sw Capitol Hwy, Portland, OR, 97298-0563
Phone Number
503-916-5681
Fax Number
503-916-2655
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10531 Sw Capitol Hwy
City
Portland
State
Oregon
Zip
97219-6812
Phone Number
503-916-5681
Fax Number
503-916-2655
person
Provider Business Mailing Address Details
Address
10531 Sw Capitol Hwy
City
Portland
State
Oregon
Zip
97219-6812
Phone Number
503-916-5681
Fax Number
503-916-2655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1252 (Oregon)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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