Individual
DR. DERENDA MARIE SCHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
(503) 205-0189
Mailing address
365 NE WILLIAMS RD, GRESHAM, OR 97030-1867
(503) 618-0416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1247
OR
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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