Jayne Niederkorn

NPI 1932458866 · on the registry since 2012 · sole proprietor

Practice

Address: 4531 Se Belmont Street
Ste 100
Portland, OR 97215
Phone: (503) 215-6556
Organisation at this address: Awake Together
Wild Hearts Pdx
Jon Fox, Ms, Lpc
Ivana Maclay Llc
Lightshinepdx Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 184

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon