Organization
VICTORIA RAVENSBERG, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA RAVENSBERG PSY.D. (MANAGER, LICENSED PSYCHOLOGIST)
(503) 536-3855
Entity
Organization
Contact information
Practice address
14050 SW PACIFIC HWY STE 210, TIGARD, OR 97224-4890
(503) 536-3855
(503) 670-1034
Mailing address
14050 SW PACIFIC HWY STE 210, TIGARD, OR 97224-4890
(503) 536-3855
(503) 670-1034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1740
OR
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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