DR. JEANNE LYNNE CARLSON PH.D.
NPI 1720298656
Psychologist - Prescribing (Medical) in Portland, OR
- Individual
- Female
- Psychologist
- Prescribing (Medical)
About JEANNE CARLSON
This page provides the complete NPI Profile along with additional information for Jeanne Carlson, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1720298656 assigned on May 2007. The practitioner's primary taxonomy code is 103TP0016X with license number 1252 (OR). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1720298656 Verify this NPI
- Provider Name
- DR. JEANNE LYNNE CARLSON PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10531 SW CAPITOL HWY PORTLAND, OR 97219
- Location Phone
- (503) 916-5681
- Location Fax
- (503) 916-2655
- Mailing Address
- PO BOX 25563 PORTLAND, OR 97298
- Mailing Phone
- (503) 916-5681
- Mailing Fax
- (503) 916-2655
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1252
- License State
- OR
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720298656, enumerated as an "individual" on May 22, 2007.
The provider is located at 10531 SW CAPITOL HWY PORTLAND, OR 97219 and the phone number is (503) 916-5681.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
