Individual
SOOBIN IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6443 SW BEAVERTON HILLSDALE HWY STE 300, PORTLAND, OR 97221-4210
(503) 452-8002
Mailing address
6443 SW BEAVERTON HILLSDALE HWY STE 300, PORTLAND, OR 97221-4210
(503) 452-8002
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3792
OR
Other
Enumeration date
09/04/2020
Last updated
09/22/2024
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