Unknown Individual – Clinical Psychologist, NPI 1629079835
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2256, Northwest Pettygrove Street, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972102608
Phone: (503) 225-0498
Fax: (503) 225-0499
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97210)
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