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Portland Health And Wellness, Llc
Prescribing (Medical) Psychologist in Portland, Oregon
NPI 1689884751

Portland Health And Wellness, Llc is a Prescribing (Medical) Psychologist based in Portland, OR and is specialized in Prescribing (Medical). Portland Health And Wellness, Llc practices in Portland, OR. The NPI Number for Portland Health And Wellness, Llc is 1689884751 and holds a License No. 1224715-1 (Oregon).

The current practice location address for Portland Health And Wellness, Llc is 1821 Se Ankeny St, Portland, OR and can be reached out via phone at 503-236-4506 and via fax at 503-236-4501.

Location: 1821 Se Ankeny St, Portland, OR, 97214-1521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689884751
Provider Name
Portland Health And Wellness, Llc
Credential
Provider Entity Type
Organization
Address
1821 Se Ankeny St, Portland, OR, 97214-1521
Phone Number
503-236-4506
Fax Number
503-236-4501
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1821 Se Ankeny St
City
Portland
State
Oregon
Zip
97214-1521
Phone Number
503-236-4506
Fax Number
503-236-4501
person
Provider Business Mailing Address Details
Address
1821 Se Ankeny St
City
Portland
State
Oregon
Zip
97214-1521
Phone Number
503-236-4506
Fax Number
503-236-4501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1224715-1 (Oregon)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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