Individual
JANIE KIYOKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8505 SW CREEKSIDE PL STE 220, BEAVERTON, OR 97008-7128
(503) 610-2044
(503) 296-2102
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(503) 610-2044
(503) 296-2102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C7869
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7869
OR
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2019
Last updated
03/16/2026
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