Individual
JOANNA JANIRA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 S MACADAM AVE STE 130, PORTLAND, OR 97239-3627
(509) 720-7397
Mailing address
5901 S MACADAM AVE STE 130, PORTLAND, OR 97239-3627
(509) 720-7397
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OR
106H00000X
Marriage & Family Therapist
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386817237
—
AK
Enumeration date
07/14/2021
Last updated
05/04/2026
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