| Skyhook Counseling Center Llc | |
|
12008 Sw Garden Pl Tigard OR 97223-8263 | |
| (503) 352-9863 | |
| Not Available |
| Full Name | Skyhook Counseling Center Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12008 Sw Garden Pl, Tigard, Oregon |
| Authorized Official Name and Position | Terry Jenkins (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5037407589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyhook Counseling Center Llc 10640 Se Charlotte Dr Happy Valley OR 97086-2161 Ph: (503) 740-7588 | Skyhook Counseling Center Llc 12008 Sw Garden Pl Tigard OR 97223-8263 Ph: (503) 352-9863 |
| NPI Number | 1104456672 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104456672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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