Individual
STEVEN L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST D
Contact information
Practice address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-5143
(503) 649-5651
(503) 649-7405
Mailing address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-5143
(503) 649-5651
(503) 649-7405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
891
OR
103TC0700X
Clinical Psychologist
891
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210855
—
OR
Enumeration date
02/15/2007
Last updated
10/29/2008
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