Individual
DR. JEANETTE JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # DC7P, PORTLAND, OR 97239-3011
(503) 494-7340
Mailing address
3181 SW SAM JACKSON PARK RD # DC7P, PORTLAND, OR 97239-3011
(503) 494-7340
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2704
OR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
2704
OR
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
2704
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2704
OR
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
2704
OR
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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