Individual
DR. STEVEN ALLAN WAKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5441 SW MACADAM AVE, #206, PORTLAND, OR 97239-6106
(503) 222-4046
(503) 222-9989
Mailing address
5441 SW MACADAM AVE, #206, PORTLAND, OR 97239-3822
(503) 222-4046
(503) 222-9989
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
360
OR
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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