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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
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030-3774
(503) 666-8832
Mailing address
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030-3774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
02/13/2014
Last updated
01/26/2018
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