| Nena Johnstone Psy D Pc | |
|
12640 Se Stark St Portland OR 97233-1058 | |
| (503) 252-2256 | |
| (503) 252-2147 |
| Full Name | Nena Johnstone Psy D Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12640 Se Stark St, Portland, Oregon |
| Authorized Official Name and Position | Nena Johnstone (PRESIDENT) |
| Authorized Official Contact | 5032522256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nena Johnstone Psy D Pc 12640 Se Stark St Portland OR 97233-1058 Ph: (503) 252-2256 | Nena Johnstone Psy D Pc 12640 Se Stark St Portland OR 97233-1058 Ph: (503) 252-2256 |
| NPI Number | 1013048677 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013048677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 849 (Oregon) | Primary |
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