Individual
GENELYNNE JIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
604 S CALIFORNIA ST, PORTLAND, OR 97219-3298
(808) 651-4964
Mailing address
604 S CALIFORNIA ST, PORTLAND, OR 97219-3298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L16259
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XLHR000023930910
HMSA
HI
Enumeration date
05/31/2017
Last updated
07/30/2025
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