Organization
AFFILIATED PSYCHOLOGICAL ASSOCIATES, INC.
Active
Organization
AFFILIATED PSYCHOLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY STEPHEN HART PH.D (PRESIDENT)
(503) 380-3777
Entity
Organization
Contact information
Practice address
5319 SW WESTGATE DR STE 147, PORTLAND, OR 97221-2430
(503) 380-3777
Mailing address
5319 SW WESTGATE DR STE 147, PORTLAND, OR 97221-2430
(503) 380-3777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
02/20/2017
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