Individual
DR. JACKLYN STELLWAY BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
707 SW GAINES ST DEPT OF, PORTLAND, OR 97239-2901
(503) 494-3703
Mailing address
707 SW GAINES ST DEPT OF, PORTLAND, OR 97239-2901
(503) 494-3703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3285
OR
Other
Enumeration date
07/03/2013
Last updated
10/14/2020
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