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Organization
INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST
Active
Organization
INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST
Active
Other names
Portland Pain Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KURTZ (OPERATIONS MANAGER)
(503) 505-7227
Entity
Organization
Contact information
Practice address
1130 NW 12TH AVE APT 614, PORTLAND, OR 97209-2860
(503) 505-7227
(503) 564-0739
Mailing address
9209 N MCKENNA AVE, PORTLAND, OR 97203-2651
(503) 505-7227
(503) 564-0739
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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