Individual
MYLES STUART RIZVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 SE SALMON ST STE 107, PORTLAND, OR 97214-2695
(971) 865-0279
Mailing address
1135 SE SALMON ST STE 107, PORTLAND, OR 97214-2695
(971) 865-0279
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3129
OR
Other
Enumeration date
09/12/2019
Last updated
10/28/2024
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