Individual
DR. JODI ELIZABETH JOHNSON PALENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2306
OR
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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