Individual
DR. JILL KESSLER MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13831 NW CORNELL RD, SUITE 103, PORTLAND, OR 97229-5485
(503) 645-2424
(503) 643-3798
Mailing address
13831 NW CORNELL RD, SUITE 103, PORTLAND, OR 97229-5485
(503) 645-2424
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1505
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1505
OR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1505
OR
103TS0200X
School Psychologist
1505
OR
Other
Enumeration date
04/24/2007
Last updated
09/11/2025
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