Organization
WILLAMETTE VALLEY PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN R BAUER PSYD (DR.)
(503) 277-9640
Entity
Organization
Contact information
Practice address
37830 KELLY RD, SCIO, OR 97374-9710
(503) 277-9640
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(503) 914-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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