Organization
PACIFIC NORTHWEST PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JAMES BOYD PH.D. (OWNER)
(503) 756-3982
Entity
Organization
Contact information
Practice address
1623 SE LEXINGTON ST, PORTLAND, OR 97202-6106
(503) 756-3982
Mailing address
1623 SE LEXINGTON ST, PORTLAND, OR 97202-6106
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295240190
NPI
—
Enumeration date
06/07/2022
Last updated
06/07/2022
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