Organization
CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE
Active
Other names
Hearing Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN WARD (EXECUTIVE DIRECTOR)
(503) 228-6479
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225
(503) 228-6479
(503) 228-4248
Mailing address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225
(503) 228-6479
(503) 228-4248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150631
—
OR
Enumeration date
05/28/2006
Last updated
09/16/2013
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