Beaverton Psychology Services Llc

NPI 1083905996 - Psychologist - 103T00000X

NPI Details
NPI 1083905996
Enumeration Date 04/26/2011
Last Updated 04/26/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TERRI LYNN TERRI
Position MANAGER
Phone (503) 526-2917
Fax (503) 641-4558
Practice Location
14780 SW OSPREY DR
SUITE 365
BEAVERTON OR, 97007-8028, US
Phone (503) 526-2917
Fax (503) 641-4558
Business Location
14780 SW OSPREY DR
SUITE 365
BEAVERTON OR, 97007-8028, US
Phone (503) 526-2917
Fax (503) 641-4558
Toxanomy
Taxonomy Code 103T00000X
License State Oregon
License Number 811
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According to our database, Beaverton Psychology Services Llc NPI is 1083905996, taxonomy code is 103T00000X and license number is 811, license state is located at Oregon. Beaverton Psychology Services Llc physically located at 14780 Sw Osprey Dr, Beaverton OR, 97007-8028. NPI Number 1033115704 has the healthcare provider type.

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1083905996 NPI number is provided on an as is basis without warranty of any kind. 1083905996 is maintained by the National Plan & Provider Enumeration System. The contents of Beaverton Psychology Services Llc are for informational purposes only.