Janet Kirkland Phd Pc | |
10700 Sw Beaverton Hillsdale Hwy Bldg. Ii Suite 470-09 Beaverton OR 97005-3019 | |
(503) 810-3269 | |
Not Available |
Full Name | Janet Kirkland Phd Pc |
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Speciality | Psychologist |
Location | 10700 Sw Beaverton Hillsdale Hwy, Beaverton, Oregon |
Authorized Official Name and Position | Janet Kirkland (PRESIDENT) |
Authorized Official Contact | 5038103269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Janet Kirkland Phd Pc 2079 Nw Town Center Dr Beaverton OR 97006-8938 Ph: () - | Janet Kirkland Phd Pc 10700 Sw Beaverton Hillsdale Hwy Bldg. Ii Suite 470-09 Beaverton OR 97005-3019 Ph: (503) 810-3269 |
NPI Number | 1083783211 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9032119227 |
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Medicare Enrollment ID | O20070112000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083783211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 1250 (Oregon) | Primary |
Provider Name | Janet L Kirkland |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316953276 PECOS PAC ID: 8123027505 Enrollment ID: I20061212000672 |
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