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DR. MARYANNE JACONIS PH.D.
NPI 1295240190
Psychologist - Clinical in Portland, OR

Active since December 13, 2017
1742 SE CLATSOP ST, PORTLAND, OR 97202(503) 908-3767 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maryanne Jaconis Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYANNE JACONIS PH.D. (NPI 1295240190) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2882) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1295240190
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARYANNE JACONISCredential: PH.D.
Location Address1742 SE CLATSOP STPortland, OR 97202-7305
Mailing Address1742 Se Clatsop StPortland, OR 97202-7305 · (503) 908-3767
Phone(503) 908-3767
Sole ProprietorYes
Enumeration DateDecember 13, 2017
✔ NPI 1295240190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2882
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1742 SE CLATSOP ST, Portland, OR 97202
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN JAMES BOYD PHD
Psychologist (Clinical)
1742 SE CLATSOP ST
PORTLAND, OR 97202
Multnomah County (541) 232-1711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryanne Jaconis's NPI number?

The NPI number for Maryanne Jaconis is 1295240190. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Maryanne Jaconis located?

Maryanne Jaconis practices at 1742 SE Clatsop St, Portland, OR 97202. The listed phone number is (503) 908-3767.

What is Maryanne Jaconis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Maryanne Jaconis was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.