MEDICARE: KARANEH JAHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1902334154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARANEH JAHAN

Provider Business Mailing Address
First Line	:	2704 ORCHARD HILL LN
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-1173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16500 SE 15TH ST STE 180
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9666
Country	:	US
Telephone Number	:	360-695-3369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	06/01/2017

Similar Medicare Providers

1972756484 — DR. OWEN COMBE DMD
Practice Location Address:

16500 SE 15TH ST STE 180
VANCOUVER, WA
98683-9666

Practice Phone: 360-695-3369
Practice Fax: 360-695-0215

1952376196 — DR. LAWRENCE EDWARD FOLTZ D.O.
Practice Location Address:

16500 SE 15TH ST STE 100
VANCOUVER, WA
98683-9666

Practice Phone: 360-254-4402
Practice Fax: 360-892-9241

1447219175 — LANA DICKSON
Practice Location Address:

16500 SE 15TH ST STE 160
VANCOUVER, WA
98683-9666

Practice Phone: 360-718-7944
Practice Fax:

1063622355 — CASCADE FUNCTIONAL MEDICINE, P.S.
Practice Location Address:

16500 SE 15TH ST STE 100
VANCOUVER, WA
98683-9666

Practice Phone: 360-254-4402
Practice Fax: 360-892-9241

1013114586 — MRS. SHERILYN MARIE FOLTZ COOK DO
Practice Location Address:

16500 SE 15TH ST , STE 100
VANCOUVER, WA
98683-9666

Practice Phone: 360-254-4402
Practice Fax: 360-892-9241

1952868234 — POLINA V SVISTUNOV LMT
Practice Location Address:

16500 SE 15TH ST STE 160
VANCOUVER, WA
98683-9666

Practice Phone: 360-718-7944
Practice Fax: 360-718-7931

Directions to “ KARANEH JAHAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.