Individual
FORREST STUART MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 714-3994
(503) 832-7992
Mailing address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 714-3994
(503) 832-7992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2347
OR
103TC0700X
Clinical Psychologist
2347
OR
Other
Enumeration date
09/15/2008
Last updated
11/11/2024
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