Individual
DR. KEVIN WILLIAM JANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1201 SW 12TH AVE STE 224, PORTLAND, OR 97205-2083
(971) 251-9856
(503) 206-6713
Mailing address
1201 SW 12TH AVE STE 224, PORTLAND, OR 97205-2083
(971) 251-9856
(503) 206-6713
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2976
GA
103G00000X
Clinical Neuropsychologist
3191
OR
103TC0700X
Clinical Psychologist
2976
GA
103TC0700X
Clinical Psychologist
Primary
3191
OR
Other
Enumeration date
01/21/2007
Last updated
11/15/2023
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