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Organization
CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE
Active
Organization
CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE
Active
Other names
Hearing Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN WARD (EXECUTIVE DIRECTOR)
(503) 228-6479
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225
(503) 228-6479
(503) 228-4248
Mailing address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225
(503) 228-6479
(503) 228-4248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150631
—
OR
Enumeration date
05/28/2006
Last updated
09/16/2013
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