Individual
DR. WILLIAM WEYMOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3924 SE IVON ST, PORTLAND, OR 97202-1651
(503) 577-2842
Mailing address
3924 SE IVON ST, PORTLAND, OR 97202-1651
(503) 577-2842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2135
OR
103TB0200X
Cognitive & Behavioral Psychologist
2135
OR
103TC0700X
Clinical Psychologist
Primary
2135
OR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2135
OR
103TP2701X
Group Psychotherapy Psychologist
2135
OR
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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