| Western Psychological And Counseling Services Pc | |
|
1700 Nw Civic Dr Ste 310 Gresham OR 97030-3774 | |
| (503) 666-8832 | |
| Not Available |
| Full Name | Western Psychological And Counseling Services Pc |
|---|---|
| Speciality | Counselor |
| Location | 1700 Nw Civic Dr Ste 310, Gresham, Oregon |
| Authorized Official Name and Position | Amanda Robertson (CONTRACT AND CREDENTIALING) |
| Authorized Official Contact | 5032335405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Psychological And Counseling Services Pc 1700 Nw Civic Dr Ste 310 Gresham OR 97030-3774 Ph: () - | Western Psychological And Counseling Services Pc 1700 Nw Civic Dr Ste 310 Gresham OR 97030-3774 Ph: (503) 666-8832 |
| NPI Number | 1497179212 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497179212 | NPI | - | NPPES |
| 164936 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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