Molly Young, | |
8915 Sw Center St, Tigard, OR 97223-6307 | |
(503) 726-3698 | |
(503) 726-3699 |
Full Name | Molly Young |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 8915 Sw Center St, Tigard, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720431661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY61521422 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | 3638 (Oregon) | Primary |
Entity Name | Psychological Services Connection Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275260465 PECOS PAC ID: 7416317789 Enrollment ID: O20230718002835 |
Mailing Address | Practice Location Address |
---|---|
Molly Young, 811 Sw 6th Ave Ste 1000, Portland, OR 97204-1345 Ph: (503) 334-3035 | Molly Young, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3698 |
Connie Francis Gibson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740 Fax: 503-726-3741 | |
Dr. Chyril Walker, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6950 Sw Hampton St, Suite 319, Tigard, OR 97223 Phone: 971-313-2094 | |
Dr. Kris D Teshera, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Oak St, Suite 280, Tigard, OR 97223 Phone: 503-521-1981 Fax: 503-935-5884 | |
Veronica C Johnstone, B.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3698 | |
Dr. David Windstrom, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6950 Sw Hampton St, Ste. 218, Tigard, OR 97223 Phone: 503-972-8957 | |
Lori Queen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd, Suite 204, Tigard, OR 97223 Phone: 503-639-6843 | |
Kristin Mary Do, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd Ste 205, Tigard, OR 97223 Phone: 503-888-4951 Fax: 971-217-9029 |