Individual
TABITHA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
Mailing address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3578
OR
Other
Enumeration date
09/16/2015
Last updated
04/11/2023
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