| NPI Details | |
|---|---|
| NPI | 1871862532 |
| Enumeration Date | 12/23/2011 |
| Last Updated | 12/23/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | VICTORIA VICTORIA |
| Position | MANAGER, LICENSED PSYCHOLOGIST |
| Phone | (503) 536-3855 |
| Fax | (503) 670-1034 |
| Practice Location | |
|---|---|
| 14050 SW PACIFIC HWY STE 210 TIGARD OR, 97224-4890, US |
|
| Phone | (503) 536-3855 |
| Fax | (503) 670-1034 |
| Business Location | |
|---|---|
| 14050 SW PACIFIC HWY STE 210 TIGARD OR, 97224-4890, US |
|
| Phone | (503) 536-3855 |
| Fax | (503) 670-1034 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 103TC0700X |
| License State | Oregon |
| License Number | 1740 |
| Remove 1871862532 NPI Number | |
According to our database, Victoria Ravensberg, Psy.d., Llc NPI is 1871862532, taxonomy code is 103TC0700X and license number is 1740, license state is located at Oregon. Victoria Ravensberg, Psy.d., Llc physically located at 14050 Sw Pacific Hwy Ste 210, Tigard OR, 97224-4890. NPI Number 1033115704 has the healthcare provider type.
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1871862532 NPI number is provided on an as is basis without warranty of any kind. 1871862532 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Ravensberg, Psy.d., Llc are for informational purposes only.
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