Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Active
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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