Portland Pediatric Psychology, LLC
Portland Pediatric Psychology, LLC is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1012 SW King AvePortland, OR 97205-1106
Phone: (503) 673-6246
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 2482 (OR) |
|---|
Record details
| NPI number | 1508992652 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glori Gray — Owner/Therapist · (503) 673-6246 |
| NPI enumerated | February 25, 2007 |
| Last updated in NPPES | March 25, 2015 |
| Mailing address | 1012 Sw King Ave., Suite 105, Portland, OR 97205-3035 |
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