Organization
NORTHWEST PSYCHOLOGICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GHATTAS HADEED PH.D. (PSYCHOLOGIST/ OWNER)
(503) 652-2810
Entity
Organization
Contact information
Practice address
15 82ND DR., SUITE 240, GLADSTONE, OR 97027-2558
(503) 652-2810
(503) 652-8553
Mailing address
15 82ND DR STE 20, GLADSTONE, OR 97027-2563
(503) 652-2810
(503) 652-8553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1151
OR
103T00000X
Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067517
—
OR
01
—
072662
MANAGED HEALTH NETWORK
OR
01
—
089784001
REGENCE BC/BS OF OREGON
OR
01
—
OR030417
PACIFICARE BEHAVIORAL HEA
OR
Enumeration date
11/09/2005
Last updated
12/17/2024
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