Individual
DR. SUSAN TINSLEY LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1220 SW MORRISON ST STE 929, PORTLAND, OR 97205-2228
(503) 530-9330
Mailing address
3060 SW CHRISTY AVE, BEAVERTON, OR 97005-1548
(503) 530-9330
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2105
OR
103TH0100X
Health Service Psychologist
2105
OR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2105
OR
Other
Enumeration date
09/07/2022
Last updated
01/26/2024
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