Individual
MR. DOUG R ALTILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2951 NW DIVISION ST STE 200, GRESHAM, OR 97030-5294
(503) 258-4600
Mailing address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 567-3260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2465
OR
Other
Enumeration date
02/20/2009
Last updated
01/02/2024
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