Provider Demographics
NPI:1184023681
Name:JANOSKI, JAMES R (QMHP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:JANOSKI
Suffix:
Gender:M
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 MOLALLA AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2654
Mailing Address - Country:US
Mailing Address - Phone:216-401-3348
Mailing Address - Fax:
Practice Address - Street 1:729 MOLALLA AVE STE 8
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2654
Practice Address - Country:US
Practice Address - Phone:216-401-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORC6840101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health