Provider Demographics
NPI:1891206785
Name:JANZ CONSULTING
Entity Type:Organization
Organization Name:JANZ CONSULTING
Other - Org Name:JANZ CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JANZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-728-8215
Mailing Address - Street 1:2409 SW NEBRASKA ST APT 9
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-7903
Mailing Address - Country:US
Mailing Address - Phone:503-718-4339
Mailing Address - Fax:
Practice Address - Street 1:1020 SW TAYLOR ST STE 635
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2524
Practice Address - Country:US
Practice Address - Phone:503-728-8215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2545261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
0651697319-8OtherHEALTHCARE PROVIDERS SERVICE ORGANIZATION PURCHASING GROUP (HPSO)