Provider Demographics
NPI:1497424980
Name:STERN, JHANVI (BA)
Entity type:Individual
Prefix:
First Name:JHANVI
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:JHANVI
Other - Middle Name:
Other - Last Name:DEROCHOONEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:10180 SE SUNNYSIDE RD # WINGA
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-8970
Mailing Address - Country:US
Mailing Address - Phone:503-571-9240
Mailing Address - Fax:
Practice Address - Street 1:10180 SE SUNNYSIDE RD # WINGA
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-571-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)