Individual
DR. JENNA WHEELER STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7246
(503) 494-7635
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7246
(503) 494-7635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2438
OR
Other
Enumeration date
06/25/2007
Last updated
02/20/2018
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