Organization
NEW HORIZONS WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK E ETHEL-KING PH.D. (DIRECTOR/PSYCHOLOGIST)
(503) 352-0240
Entity
Organization
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY, STE. 618, BEAVERTON, OR 97005-3019
(503) 352-0240
Mailing address
10700 SW BEAVERTON HILLSDALE HWY, STE. 618, BEAVERTON, OR 97005-3019
(503) 352-0240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1615
—
225X00000X
Occupational Therapist
986473
OR
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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