Individual
JON JOSEPH CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
151 NW MONROE AVE STE 103, CORVALLIS, OR 97330-4708
(541) 517-4542
Mailing address
151 NW MONROE AVE STE 103, CORVALLIS, OR 97330-4708
(541) 517-4542
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3354
OR
103TC0700X
Clinical Psychologist
PSY-1825
HI
Other
Enumeration date
11/20/2018
Last updated
10/14/2025
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