Individual
DR. JANIECE DESOCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, RN, PMHNP
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 118, PORTLAND, OR 97227-1630
(503) 249-8851
(503) 282-3409
Mailing address
2581 NE 31ST AVE, PORTLAND, OR 97212-3660
(503) 235-0545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Enumeration date
10/27/2006
Last updated
09/11/2025
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