Myco Van PSY.D.

  • NPI 1295870525
According to our database, the NPI number for Myco Van PSY.D. is 1295870525 and activated since 17 years ago. Myco Van PSY.D. is an individual provider who specializes in Clinical, and the primary practice location is 1500 Ne Irving St, Portland, OR 97232. You can also contact Myco Van PSY.D. via telephone number is (503) 233-4356. Provider NPI information was last updated on 11/07/2009.

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Overview of Myco Van PSY.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/21/2007
  • Last updated: 11/07/2009

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 1791
  • License State: OR

Provider Mailing Address

  • Address: 8401 Ne Halsey St Ste 203
    Portland, OR 97220
  • Phone: 503-867-2289
  • Fax:

Provider Practice Location

  • Address: 1500 Ne Irving St
    Suite 250
    Portland, OR 97232
  • Phone: 503-233-4356
  • Fax:

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 1791
  • License State: OR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Myco Van PSY.D.?
  • A: The npi number for Myco Van PSY.D. is 1295870525.
  • Q: What are Myco Van PSY.D.'s specialties?
  • A: Myco Van PSY.D.'s specialties are Clinical and different specialities.
  • Q: What is the medical license for Myco Van PSY.D.?
  • A: The medical license number for Myco Van PSY.D. is 1791 and issued in OR in USA.
  • Q: Where is Myco Van PSY.D. practice location?
  • A: Myco Van PSY.D. is practicing at 1500 Ne Irving St, Portland, OR 97232.
  • Q: How to contact Myco Van PSY.D.?
  • A: You can contact Myco Van PSY.D. via 503-233-4356.