Organization
OAK & FERN PSYCHOTHERAPY
Active
Organization
OAK & FERN PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SCHOLLARS PSYD. (PSYCHOLOGIST)
(503) 884-6921
Entity
Organization
Contact information
Practice address
9500 SW BARBUR BLVD STE 110, PORTLAND, OR 97219-5425
(503) 884-6921
Mailing address
9500 SW BARBUR BLVD STE 110, PORTLAND, OR 97219-5425
(503) 910-6379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
OR
Enumeration date
07/01/2024
Last updated
11/19/2024
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