Individual
MAGDA PERMUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 SE DIVISION ST STE 218, PORTLAND, OR 97202-2567
(303) 947-3092
Mailing address
1125 SE DIVISION ST STE 218, PORTLAND, OR 97202-2567
(303) 947-3092
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2706
OR
Other
Enumeration date
09/15/2015
Last updated
02/15/2017
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