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Organization

RICKS WARREN PH.D., ABPP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICKS WARREN PH.D. (PRESIDENT)
(503) 635-8710
Entity
Organization

Contact information

Practice address
4550 KRUSE WAY STE 225, LAKE OSWEGO, OR 97035-2586
(503) 635-8710
(503) 635-0583
Mailing address
4550 S.W. KRUSE WAY #225, LAKE OSWEGO, OR 97035
(503) 635-8710
(503) 635-0583

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
422
OR

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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