Organization
EMBODIED PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BANJO WEYMOUTH PSYD (CLINICAL PSYCHOLOGIST)
(503) 577-2842
Entity
Organization
Contact information
Practice address
3050 SE DIVISION ST, SUITE 210, PORTLAND, OR 97202-1451
(503) 577-2842
Mailing address
3050 SE DIVISION ST, SUITE 210, PORTLAND, OR 97202-1451
(503) 577-2842
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2135
OR
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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