Healthcare Provider Details

I. General information

NPI: 1972728277
Provider Name (Legal Business Name): KATHERINE MAY JANSEN-BYRKIT M.P.H., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 S PENDLETON ST
PORTLAND OR
97239-3890
US

IV. Provider business mailing address

404 S PENDLETON ST
PORTLAND OR
97239-3890
US

V. Phone/Fax

Practice location:
  • Phone: 503-267-6049
  • Fax:
Mailing address:
  • Phone: 503-267-6049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1998
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: