Individual
DR. JUSTIN S PANNECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., PH.D., LPC
Contact information
Practice address
1320 NW 23RD AVE, PORTLAND, OR 97210-2602
(503) 545-8688
Mailing address
8333 SW POINTER WAY APT I, PORTLAND, OR 97225-7313
(503) 545-8688
(503) 263-6278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6578
OR
Other
Enumeration date
10/26/2016
Last updated
12/02/2025
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