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Individual

DR. JOSEPH PETER GRETSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD, ABPP, LICENSED

Contact information

Practice address
818 SW 3RD AVE, #148, PORTLAND, OR 97204-2405
(503) 206-1713
Mailing address
818 SW 3RD AVE, #148, PORTLAND, OR 97204-2405

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY2060
WA
103TR0400X
Rehabilitation Psychologist
1287
OR

Other

Enumeration date
01/05/2006
Last updated
01/12/2012
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