Evergreen Clinical
Evergreen Clinical is a Clinical Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
Practice location Address checks out
5200 SW Macadam Ave Ste 160Portland, OR 97239-6103
Phone: (503) 236-6218
Fax: (503) 715-5649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 1407 (OR) |
|---|
Record details
| NPI number | 1386943587 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Goff — Owner/Director · (503) 224-0482 |
| NPI enumerated | March 28, 2011 |
| Last updated in NPPES | March 28, 2011 |
| Mailing address | 5200 Sw Macadam Ave, Suite 160, Portland, OR 97239-6103 |
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