Individual
DR. SERGIY BARSUKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
502 S SAINT PAUL HWY, NEWBERG, OR 97132-7059
(503) 949-4961
Mailing address
PO BOX 256, NEWBERG, OR 97132-0256
(503) 949-4961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1935
OR
Other
Enumeration date
09/27/2007
Last updated
03/09/2011
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