Organization
PSYCHOLOGICAL SERVICES CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE WAGER PSY.D. (OWNER)
(971) 400-5544
Entity
Organization
Contact information
Practice address
1800 BLANKENSHIP RD STE 200, WEST LINN, OR 97068-4174
(971) 400-5544
Mailing address
1800 BLANKENSHIP RD STE 200, WEST LINN, OR 97068-4174
(971) 400-5544
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2220
OR
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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