Individual
REBECCA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9205 SW BARNES RD, MT 2800, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
2427
OR
Other
Enumeration date
09/03/2008
Last updated
10/13/2014
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