Individual
DR. JENNIFER ANNE SIMON-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4850 SW SCHOLLS FERRY RD STE 301, PORTLAND, OR 97225-1696
(503) 707-0348
(971) 266-2868
Mailing address
5319 SW WESTGATE DR STE 168, PORTLAND, OR 97221-2430
(503) 707-0348
(971) 266-2868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
355
MT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2570
OR
Other
Enumeration date
02/16/2007
Last updated
08/29/2022
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