Sport Psychology Institute Northwest
Sport Psychology Institute Northwest is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.
- Licensed in
- OR
- In the registry since
- 2010
Practice location Address checks out
833 SW 11th Ave Ste 925Portland, OR 97205-2125
Phone: (866) 300-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence C1433 (OR) |
|---|
Record details
| NPI number | 1457667206 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Henry — President · (866) 300-1515 |
| NPI enumerated | August 30, 2010 |
| Last updated in NPPES | August 30, 2010 |
| Mailing address | 833 Sw 11th Ave, Suite 925, Portland, OR 97205-2125 |
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