institution
Providence Health & Services - Oregon
Clinic/Center in Portland, Oregon
NPI 1679678866

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1679678866 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 4104 Se 82Nd Ave, Portland, OR and can be reached out via phone at 503-215-9850 and via fax at 503-215-9855.

Location: 4104 Se 82Nd Ave, Portland, OR, 97208-3158
institution
Provider Profile Details
NPI Number
1679678866
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
4104 Se 82Nd Ave, Portland, OR, 97208-3158
Phone Number
503-215-9850
Fax Number
503-215-9855
Provider Enumeration Date
09/13/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022860 05 OR
institution
Provider Business Practice Location Address Details
Address
4104 Se 82Nd Ave
City
State
Zip
97266-2954
Phone Number
503-215-9850
Fax Number
503-215-9855
person
Provider Business Mailing Address Details
Address
4104 Se 82Nd Ave
City
State
Zip
97266-2954
Phone Number
503-215-9850
Fax Number
503-215-9855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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