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John Wesley Reilly, PHD
Clinical Psychologist in Portland, Oregon
NPI 1417032954

John Wesley Reilly is a Clinical Psychologist based in Portland, OR and is specialized in Clinical. John Wesley Reilly practices in Portland, OR and has the professional credentials of PHD. The NPI Number for John Wesley Reilly is 1417032954 and holds a License No. 1173 (Oregon).

The current practice location address for John Wesley Reilly is 12636 Se Stark, Portland, OR and can be reached out via phone at 503-253-4600 and via fax at 503-253-4609.

Location: 12636 Se Stark, Portland, OR, 97282
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Provider Profile Details
NPI Number
1417032954
Provider Name
John Wesley Reilly
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
12636 Se Stark, Portland, OR, 97282
Phone Number
503-253-4600
Fax Number
503-253-4609
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
068WDBBQK 01 OR NUMBER PERSONAL MEDICARE
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
12636 Se Stark
City
State
Zip
97233
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider Business Mailing Address Details
Address
12636 Se Stark
City
State
Zip
97233
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
1173 (Oregon)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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