Individual
DR. JANA MARIE CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.SC., M.SC., PH.D.
Contact information
Practice address
9620 NW BERMAR LN, PORTLAND, OR 97229-5218
(971) 401-8293
Mailing address
9620 NW BERMAR LN, PORTLAND, OR 97229-5218
(714) 018-2939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-02-05
OR
103T00000X
Psychologist
Primary
2811
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500704276
—
OR
Enumeration date
01/12/2015
Last updated
11/09/2023
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