Organization
BEAVERTON PSYCHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI LYNN MISHLER PSYD (MANAGER)
(503) 526-2917
Entity
Organization
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 526-2917
Mailing address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 526-2917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
811
OR
Other
Enumeration date
04/26/2011
Last updated
12/23/2020
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