Organization
PSYCH NW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT T ALVORD PSY, D (PRESIDENT)
(503) 476-5005
Entity
Organization
Contact information
Practice address
17704 JEAN WAY STE 105, LAKE OSWEGO, OR 97035-5586
(503) 877-0711
(503) 914-0315
Mailing address
PO BOX 10024, EUGENE, OR 97440-2024
(503) 877-0711
(503) 914-0315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1929
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500614581MCD
—
OR
Enumeration date
03/05/2015
Last updated
03/05/2015
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