Individual
DR. SALLY VICTORIA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1070 NW MURRAY RD STE 3, PORTLAND, OR 97229-5568
(503) 531-3574
(503) 305-5684
Mailing address
PO BOX 2362, TUALATIN, OR 97062-2362
(503) 531-3574
(503) 305-5684
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1385
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223707
MHN
—
01
—
804349000
REGENCE BC/BS
—
Enumeration date
01/28/2008
Last updated
01/12/2022
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