Organization
INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST
Active
Other names
Portland Pain Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KURTZ (OPERATIONS MANAGER)
(503) 505-7227
Entity
Organization
Contact information
Practice address
1130 NW 12TH AVE APT 614, PORTLAND, OR 97209-2860
(503) 505-7227
(503) 564-0739
Mailing address
9209 N MCKENNA AVE, PORTLAND, OR 97203-2651
(503) 505-7227
(503) 564-0739
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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