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Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Active
Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROBERTSON (CONTRACT AND CREDENTIALING)
(503) 233-5405
Entity
Organization
Contact information
Practice address
2222 E POWELL BLVD, GRESHAM, OR 97080-1365
(503) 669-4300
(503) 669-4301
Mailing address
PO BOX 82819, PORTLAND, OR 97282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/27/2017
Last updated
01/26/2018
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