Organization
TRANSITIONS PROFESSIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY R VIERCK (ADMINISTRATOR)
(503) 972-7090
Entity
Organization
Contact information
Practice address
6514 SE 42ND AVE, PORTLAND, OR 97206-7702
(503) 972-7090
(833) 527-3447
Mailing address
4207 SE WOODSTOCK BLVD # 411, PORTLAND, OR 97206-6267
(503) 972-7090
(833) 527-3447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2439
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2439
OREGON BOARD OF PSYCHOLOGIST EXAMINERS
OR
Enumeration date
05/16/2014
Last updated
05/15/2020
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