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Organization

PORTLAND PSYCHOLOGICAL SERVICES

Active
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Organization

PORTLAND PSYCHOLOGICAL SERVICES

Active
Other names
C. David Maxey, M.A.
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES DAVID MAXEY M.A. (OWNER)
(503) 928-4182
Entity
Organization

Contact information

Practice address
6950 SW HAMPTON ST STE 207, PORTLAND, OR 97223-8234
(503) 928-4182
Mailing address
6950 SW HAMPTON ST STE 207, PORTLAND, OR 97223-8234
(503) 928-4182

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—

Other

Enumeration date
05/22/2020
Last updated
07/18/2025
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