Provider Demographics
NPI:1003661851
Name:DUNCAN, JANETTE ANN (QMHP)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:ANN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 SW 204TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97003-1880
Mailing Address - Country:US
Mailing Address - Phone:503-515-5933
Mailing Address - Fax:
Practice Address - Street 1:2135 SW 204TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97003-1880
Practice Address - Country:US
Practice Address - Phone:503-515-5933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR19-QMHPC-00503171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach