Individual
DR. MARIA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
(503) 253-4609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2879
OR
103T00000X
Psychologist
2879
OR
103TC0700X
Clinical Psychologist
27122
CA
103TC0700X
Clinical Psychologist
Primary
2879
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2879
OR
Other
Enumeration date
07/15/2011
Last updated
03/17/2018
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