Individual
JANET Y. CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 567-3260
(503) 567-3264
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C2251
OR
103TC0700X
Clinical Psychologist
Primary
2092
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
GROUP MEDICARE
WA
01
—
000WDBCH
GROUP MEDICARE
OR
05
—
164936
—
OR
Enumeration date
04/23/2007
Last updated
01/08/2024
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