Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROBERTSON (CONTRACT AND CREDENTIALING)
(503) 233-5405
Entity
Organization
Contact information
Practice address
9700 SW BEAVERTON HILLSDALE HWY BLDG B, BEAVERTON, OR 97005-3306
(503) 626-9494
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
01/26/2018
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