Individual
JESSICA LAUREN BINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15220 NW LAIDLAW RD STE 102, PORTLAND, OR 97229-7717
(800) 452-3563
(503) 418-2401
Mailing address
15220 NW LAIDLAW RD STE 102, PORTLAND, OR 97229-7717
(800) 452-3563
(503) 418-2401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2428
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2009
Last updated
08/21/2024
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