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Organization

FOREST PSYCHOLOGICAL CLINIC

Active
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Organization

FOREST PSYCHOLOGICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES THATCHER PSYD (CLINICAL DIRECTOR)
(971) 353-1145
Entity
Organization

Contact information

Practice address
15110 BOONES FERRY RD STE 150, LAKE OSWEGO, OR 97035-3486
(971) 331-1366
(971) 715-0387
Mailing address
15110 BOONES FERRY RD STE 150, LAKE OSWEGO, OR 97035-3486
(971) 331-1366
(971) 715-0387

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
02/13/2023
Last updated
02/13/2023
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