Individual
DR. HELEN RAY PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
440 NW HEMLOCK ST, WALDPORT, OR 97394
(541) 563-5672
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1086
OR
103TC0700X
Clinical Psychologist
1086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500742316
—
OR
Enumeration date
10/11/2006
Last updated
06/18/2018
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