Geromedical Psychological Service Ps
Geromedical Psychological Service Ps 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
3550 SW Bond AvePortland, OR 97239-4507
Phone: (360) 574-9565
Fax: (360) 574-9685
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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 2074 (OR) |
|---|
Record details
| NPI number | 1043501836 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derick Scovel — President · (360) 574-9565 |
| NPI enumerated | April 27, 2011 |
| Last updated in NPPES | September 17, 2020 |
| Certification date | September 17, 2020 |
| Mailing address | 2400 Main St, Vancouver, WA 98660-2663 |
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