Provider Demographics
NPI:1457076721
Name:PERLSTEIN, JANE BELINDA (MA)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:BELINDA
Last Name:PERLSTEIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:BELINDA
Other - Last Name:PAIGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1322 SE 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-2807
Mailing Address - Country:US
Mailing Address - Phone:503-381-5369
Mailing Address - Fax:
Practice Address - Street 1:1675 SW MARLOW AVE STE 110
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5102
Practice Address - Country:US
Practice Address - Phone:503-297-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program