Organization
AMY HARRIS PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HARRIS (SOLE MEMBER)
(802) 238-5337
Entity
Organization
Contact information
Practice address
814 NE 63RD AVE, PORTLAND, OR 97213-4338
(802) 238-5337
Mailing address
814 NE 63RD AVE, PORTLAND, OR 97213-4338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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