Individual
JOSEPH MARSHALL CEREGHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2732 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 730-8675
Mailing address
2732 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 730-8675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1712
OR
103TC0700X
Clinical Psychologist
1712
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1712
OR
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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