Individual
DR. MARY HACOPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 450, BEAVERTON, OR 97005-4736
(503) 928-6624
(866) 803-2248
Mailing address
14588 SW SHOUE DR, TIGARD, OR 97224
(818) 438-6671
(866) 803-2248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
GROUP MEDICARE
OR
05
—
164936
—
OR
Enumeration date
02/15/2007
Last updated
09/28/2016
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