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Portland Pediatric Psychology, Llc
Community/Behavioral Health Agency in Portland, Oregon
NPI 1508992652

Portland Pediatric Psychology, Llc is a Community/Behavioral Health Agency based in Portland, OR. Portland Pediatric Psychology, Llc practices in Portland, OR. The NPI Number for Portland Pediatric Psychology, Llc is 1508992652 and holds a License No. 2482 (Oregon).

The current practice location address for Portland Pediatric Psychology, Llc is 1012 Sw King Ave., Portland, OR and can be reached out via phone at 503-673-6246.

Location: 1012 Sw King Ave., Portland, OR, 97205-3035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508992652
Provider Name
Portland Pediatric Psychology, Llc
Credential
Provider Entity Type
Organization
Address
1012 Sw King Ave., Portland, OR, 97205-3035
Phone Number
503-673-6246
Fax Number
Provider Enumeration Date
02/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3598 01 NC CAROLINAS BEHAVIORAL HEAL
135J9 01 NC BLUE CROSS BLUE SHIELD
6002627 05 NC
institution
Provider Business Practice Location Address Details
Address
1012 Sw King Ave.
City
Portland
State
Oregon
Zip
97205-1106
Phone Number
503-673-6246
Fax Number
person
Provider Business Mailing Address Details
Address
1012 Sw King Ave.
City
Portland
State
Oregon
Zip
97205-1106
Phone Number
503-673-6246
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
2482 (Oregon)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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