University Psychiatry & Behavioral Health Servic

NPI 1487676078 - Psychologist - 103TC0700X

NPI Details
NPI 1487676078
Enumeration Date 07/24/2006
Last Updated 04/18/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOE E JOE
Position PRESIDENT
Phone (503) 494-6176
Fax (503) 494-6152
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-6176
Fax (503) 494-6152
Business Location
P.O. BOX 3590
PORTLAND OR, 97208-3590, US
Phone (503) 494-8417
Fax (503) 494-4455
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, University Psychiatry & Behavioral Health Servic NPI is 1487676078, taxonomy code is 103TC0700X University Psychiatry & Behavioral Health Servic physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number 1033115704 has the healthcare provider type.

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1487676078 NPI number is provided on an as is basis without warranty of any kind. 1487676078 is maintained by the National Plan & Provider Enumeration System. The contents of University Psychiatry & Behavioral Health Servic are for informational purposes only.