Individual
DR. TONYA MIZELL PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1643
OR
Other
Enumeration date
06/30/2006
Last updated
07/16/2007
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