Individual
VANESSA MARIE WELCH-PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
5005 NE SANDY BLVD, PORTLAND, OR 97213
(503) 233-6940
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2918
OR
103TC0700X
Clinical Psychologist
PY60248926
WA
Other
Enumeration date
09/20/2010
Last updated
01/06/2023
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