Organization
PORTLAND PSYCHOLOGICAL ASSESSMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WELLS PSYD (OWNER)
(971) 770-1813
Entity
Organization
Contact information
Practice address
650 NE HOLLADAY ST STE 1600, PORTLAND, OR 97232-2035
(971) 770-1813
(888) 244-7140
Mailing address
650 NE HOLLADAY ST STE 1600, PORTLAND, OR 97232-2035
(971) 770-1813
(888) 244-7140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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