Organization
CYNTHIA POLANCE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA POLANCE PSYD (OWNER)
(503) 869-4040
Entity
Organization
Contact information
Practice address
7912 SW 35TH AVE STE 3, PORTLAND, OR 97219-2427
(503) 278-4970
(503) 447-6640
Mailing address
8125 SW RUBY TER, PORTLAND, OR 97219-4649
(503) 869-4040
(503) 447-6640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500770354
—
OR
Enumeration date
04/24/2020
Last updated
04/29/2025
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