Organization
PLAY2GROW BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MARKOVICS PHD (CLINICAL PSYCHOLOGIST)
(503) 563-5280
Entity
Organization
Contact information
Practice address
8050 SW WARM SPRINGS ST STE 130, TUALATIN, OR 97062-7401
(503) 564-0565
Mailing address
8050 SW WARM SPRINGS ST STE 130, TUALATIN, OR 97062-7401
(503) 564-0565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1948
OR
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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