| Growth Endeavor Pc | |
|
6935 S.w. Hall Blvd Beaverton OR 97008 | |
| (503) 642-2086 | |
| (508) 649-3628 |
| Full Name | Growth Endeavor Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6935 S.w. Hall Blvd, Beaverton, Oregon |
| Authorized Official Name and Position | Sopha Hang (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5036422086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Endeavor Pc 6935 S.w. Hall Blvd Beaverton OR 97008 Ph: (503) 642-2086 | Growth Endeavor Pc 6935 S.w. Hall Blvd Beaverton OR 97008 Ph: (503) 642-2086 |
| NPI Number | 1053594978 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053594978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1358 (Oregon) | Secondary |
| 103TC0700X | Psychologist - Clinical | #1358 (Oregon) | Primary |
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