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Organization
BEHAVIORAL NEUROPSYCHOLOGY LLC
Active
Organization
BEHAVIORAL NEUROPSYCHOLOGY LLC
Active
Other names
BDTXPDX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J FULOP PSYD (OWNER)
(503) 539-4932
Entity
Organization
Contact information
Practice address
2130 SW JEFFERSON ST STE 300, PORTLAND, OR 97201-7711
(503) 539-4932
(503) 297-5744
Mailing address
2130 SW JEFFERSON ST STE 300, PORTLAND, OR 97201-7711
(503) 539-4932
(503) 297-5744
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/21/2021
Last updated
12/07/2022
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