Organization
PORTLAND HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE E STILWELL (OFFICE MANAGER)
(503) 236-4506
Entity
Organization
Contact information
Practice address
1821 SE ANKENY ST, PORTLAND, OR 97214-1521
(503) 236-4506
(503) 236-4501
Mailing address
1821 SE ANKENY ST, PORTLAND, OR 97214-1521
(503) 236-4506
(503) 236-4501
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
1224715-1
OR
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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