Individual provider · Type 1 NPI
Jeanne Lynne Carlson, PhD
Prescribing (Medical) Psychologist · Portland, OR
Practice location
10531 SW Capitol Hwy
Portland, OR 97219-6812
Fax (503) 916-2655
Mailing address
PO Box 25563
Portland, OR 97298-0563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 1252 (OR) |
Prescribing (Medical) Psychologist: 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1720298656
Jeanne Lynne Carlson, PhD's National Provider Identifier is 1720298656, issued on May 22, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.