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Organization

CYNTHIA POLANCE PSYCHOLOGY

Active
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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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