Individual
DR. JENNA LEJEUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1940 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 260-9419
Mailing address
5324 NE 12TH AVE, PORTLAND, OR 97211-4302
(503) 260-9419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1600
OR
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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