Individual
DR. JASON SCOTT RIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1330 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4322
(858) 344-5593
Mailing address
1330 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4322
(503) 232-1100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2539
OR
103TC0700X
Clinical Psychologist
PSY 27493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130250
—
OR
Enumeration date
09/24/2008
Last updated
05/25/2017
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