Provider Demographics
NPI:1285492306
Name:JONES, LYNN L (QMHP)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:L
Last Name:JONES
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 1:3500 SE CONCORD RD UNIT 50
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-4662
Mailing Address - Country:US
Mailing Address - Phone:503-380-1260
Mailing Address - Fax:
Practice Address - Street 1:3500 SE CONCORD RD UNIT 50
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-4662
Practice Address - Country:US
Practice Address - Phone:503-380-1260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORQMHP-R101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health