Individual
JANE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10200 SW EASTRIDGE ST, SUITE 235, PORTLAND, OR 97225-5064
(503) 292-1885
Mailing address
10200 SW EASTRIDGE ST, SUITE 235, PORTLAND, OR 97225-5064
(503) 292-1885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2163
OR
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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