Individual
DR. THERESA UCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9300 SE 91ST AVE STE 200, HAPPY VALLEY, OR 97086-3762
(503) 261-1171
(503) 253-5989
Mailing address
9300 SE 91ST AVE STE 200, HAPPY VALLEY, OR 97086-3762
(503) 261-1171
(503) 253-5989
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1922
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500600933
—
OR
Enumeration date
11/05/2008
Last updated
03/28/2012
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