Individual
DR. DARREL WORTHLEY EACRET
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15964 LWR. BOONES FERRY RD., SUITE 103, LAKE OSWEGO, OR 97035-4361
(971) 226-5679
(503) 675-1836
Mailing address
15964 LWR. BOONES FERRY RD., SUITE 103, LAKE OSWEGO, OR 97035-4361
(971) 226-5679
(503) 675-1836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0721
OR
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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