Provider Demographics
NPI:1831487503
Name:JONES, CELESTE ELANA (PSYD)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:ELANA
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 SW BARNES RD STE 301
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6670
Mailing Address - Country:US
Mailing Address - Phone:503-297-3371
Mailing Address - Fax:
Practice Address - Street 1:9555 SW BARNES RD STE 301
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6670
Practice Address - Country:US
Practice Address - Phone:503-297-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent