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Organization

POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC.

Active
Other names
Positive Development For Youth and Families
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN WILLIAM BUSH PHD (CO-OWNER/LICENSED PSYCHLOGIST)
(503) 333-5213
Entity
Organization

Contact information

Practice address
4531 SE BELMONT ST STE 110, PORTLAND, OR 97215-1675
(503) 333-5213
(844) 774-3515
Mailing address
7616 N LEONARD ST, PORTLAND, OR 97203-3231
(503) 333-5213
(844) 774-3515

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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