Jeanne Bereiter
Psychiatry & Neurology, Child & Adolescent Psychiatry in Portland, OR. Individual provider (NPI-1).
NPI number1124033675
StatusActive
Last updated in NPPESAug 9, 2018
Details
- NPI
- 1124033675
- Entity type
- Individual (NPI-1)
- Name
- Jeanne Bereiter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Aug 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | MD185526 | OR | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 96-195 | NM |
Practice location
1225 Ne 2nd AvePortland, OR 97232
Phone 503-944-8000 · Fax 503-944-8011
Mailing address
Po Box 4399Portland, OR 97208-4399
Phone 503-413-3900 · Fax 503-413-3710
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