Individual provider · Type 1 NPI

Jeffrey Kranovich, BA

Mental Health Counselor · Portland, OR

NPI number 1649560152 Active

Practice location

4925 N Albina Ave
Portland, OR 97217-2609

Call (503) 548-4922 Map

Fax (503) 459-4495

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649560152

Jeffrey Kranovich, BA's National Provider Identifier is 1649560152, issued on Apr 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 18, 2011.