Organization
JULIE EVANS BINGHAM PHD, LLC
Active
Organization
JULIE EVANS BINGHAM PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE EVANS BINGHAM PHD (LICENSED CLINICAL PSYCHOLOGIST)
(503) 584-9923
Entity
Organization
Contact information
Practice address
528 COTTAGE ST NE, SUITE 1D, SALEM, OR 97301-3811
(503) 584-9923
(503) 584-0303
Mailing address
528 COTTAGE ST NE, SUITE 1D, SALEM, OR 97301-3811
(503) 584-9923
(503) 584-0303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1523
OR
2084P0800X
Psychiatry Physician
MD19881
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD19881
OR
Other
Enumeration date
11/01/2011
Last updated
09/05/2012
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