IndividualActive
Jane Broud, LCSW
NPI 1235675976 · Clinical Social Worker · White City, OR
Provider details
- NPI number
- 1235675976
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7180 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
Fax: (541) 830-7528
Approximate (ZIP-level) locationGet directions
Mailing address
8495 Crater Lake Hwy
White City, OR 97503-3011
Registry dates
- Enumerated
- 2017-01-18
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.