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Organization
POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC.
Active
Organization
POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC.
Active
Other names
Positive Development For Youth and Families
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN WILLIAM BUSH PHD (CO-OWNER/LICENSED PSYCHLOGIST)
(503) 333-5213
Entity
Organization
Contact information
Practice address
4531 SE BELMONT ST STE 110, PORTLAND, OR 97215-1675
(503) 333-5213
(844) 774-3515
Mailing address
7616 N LEONARD ST, PORTLAND, OR 97203-3231
(503) 333-5213
(844) 774-3515
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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