Organization
BROOKE PSYCHOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BROOKE PSY.D. (CLINICAL PSYCHOLOGIST)
(503) 481-0020
Entity
Organization
Contact information
Practice address
516 SE MORRISON ST, STE 310, PORTLAND, OR 97214-2327
(503) 235-8696
(503) 232-0791
Mailing address
516 SE MORRISON ST, STE 310, PORTLAND, OR 97214-2327
(503) 235-8696
(503) 232-0791
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1623
OR
103TC0700X
Clinical Psychologist
1830
OR
103TC0700X
Clinical Psychologist
PY00003079
WA
103TC0700X
Clinical Psychologist
Primary
PY00003704
WA
Other
Enumeration date
04/29/2008
Last updated
08/18/2008
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