Organization
JMJ PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ MARTHA CALLUM ED.D. (PSYCHOLOGIST)
(503) 430-8161
Entity
Organization
Contact information
Practice address
14125 SW FARMINGTON RD, BEAVERTON, OR 97005-2567
(503) 430-8161
(503) 640-6182
Mailing address
16055 SW WALKER RD, SUITE 114, BEAVERTON, OR 97006-4942
(503) 430-8161
(503) 640-6182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1624
OR
103TC0700X
Clinical Psychologist
Primary
891
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2212
OR
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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