LARK JEANENE ROE QMHP
NPI 1912061862
Counselor - Mental Health in Portland, OR
Active since December 21, 2006
About Lark Jeanene Roe Qmhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARK JEANENE ROE QMHP (NPI 1912061862) is an individual mental health provider in Portland, Oregon and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1912061862
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARK JEANENE ROECredential: QMHP
Location Address13317 SE POWELL BLVDPortland, OR 97236-3335
Mailing AddressPo Box 86405Portland, OR 97286-0405 · (503) 775-3488
Phone(503) 760-9606
Fax(503) 760-9609
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912061862 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13317 SE POWELL BLVD, Portland, OR 97236
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Psychiatric/Mental Health)
13317 SE POWELL BLVD
PORTLAND, OR 97236
PORTLAND, OR 97236
Registered Nurse (Psychiatric/Mental Health)
13317 SE POWELL BLVD
PORTLAND, OR 97236
PORTLAND, OR 97236
Registered Nurse (Psychiatric/Mental Health)
13317 SE POWELL BLVD
PORTLAND, OR 97236
PORTLAND, OR 97236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912061862, enumerated as an "individual" on December 21, 2006.
The provider is located at 13317 SE POWELL BLVD PORTLAND, OR 97236 and the phone number is (503) 760-9606.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
