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Organization (NPI-2) Active

Psychologist, Counseling

Provider Information

NPI Number
1619057098
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR, 970065143
Phone
(503) 649-5651
Fax
(503) 649-7405

Specialties & Taxonomies

Counselor, Mental Health License: OR
Psychologist, Cognitive & Behavioral License: OR #891
Psychologist, Clinical License: OR #891
Psychologist, Clinical Child & Adolescent License: OR #891
Psychologist License: OR #891
Marriage & Family Therapist License: OR #T0433
Psychiatry & Neurology, Child & Adolescent Psychiatry License: OR #17887
Clinic/Center, Adolescent and Children Mental Health License: OR
Residential Treatment Facility, Emotionally Disturbed Children License: OR
Psychiatric Hospital License: OR #17887
Psychologist, Counseling Primary License: OR #891

All Addresses

MAILING

16535 SW TUALATIN VALLEY HWY

BEAVERTON, OR, 970065143

(503) 649-5651

LOCATION

16535 SW TUALATIN VALLEY HWY

BEAVERTON, OR, 970065143

(503) 649-5651