Individual
THEODORE ROY ASKWITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
16180 SE SUNNYSIDE RD STE 102, HAPPY VALLEY, OR 97015-6302
(503) 582-4900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2277
OR
Other
Enumeration date
03/18/2014
Last updated
04/18/2018
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