Individual
DR. REBECCA M DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3939 NE HANCOCK ST # 316, PORTLAND, OR 97212-5321
(971) 808-2547
(503) 288-7877
Mailing address
3939 NE HANCOCK ST # 316, PORTLAND, OR 97212-5321
(971) 808-2547
(503) 288-7877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2475
OR
Other
Enumeration date
01/15/2010
Last updated
06/11/2019
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