Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROBERTSON (CONTRACT AND CREDENTIALING)
(503) 233-5405
Entity
Organization
Contact information
Practice address
870 SE 82ND, GLADSTONE, OR 97027
(503) 656-5515
Mailing address
PO BOX 82819, PORTLAND, OR 97282
(503) 233-5405
(503) 233-2694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
01/26/2018
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