Healthcare Provider Details

I. General information

NPI: 1558469700
Provider Name (Legal Business Name): JANELLE R THAYER-ENGLE M.A., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANELLE R THAYER L.M.P.C.

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JANELLE ENGLE MA LPC . 2740 CRATER LANE
NEWBERG OR
97132-1038
US

IV. Provider business mailing address

JANELLE ENGLE MA LPC . 2740 CRATER LANE
NEWBERG OR
97132-1038
US

V. Phone/Fax

Practice location:
  • Phone: 503-899-7025
  • Fax: 503-961-9300
Mailing address:
  • Phone: 503-899-7025
  • Fax: 503-961-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00006451
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: