Tabitha Becker
Psychologist, Clinical Child & Adolescent in Lake Oswego, OR. Individual provider (NPI-1).
NPI number1023411485
StatusActive
Last updated in NPPESSep 30, 2014
Details
- NPI
- 1023411485
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Becker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2014
- Last updated
- Sep 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 2484 | OR | Yes |
| 103G00000X | Clinical Neuropsychologist | 2484 | OR | |
| 103TC0700X | Psychologist, Clinical | 2484 | OR | |
| 103TH0004X | Psychologist, Health | 2484 | OR | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | 2484 | OR |
Practice location
201 B AveSuite 285
Lake Oswego, OR 97034-3159
Phone 503-636-0508 · Fax 503-636-0387
Mailing address
201 B AveSuite 285
Lake Oswego, OR 97034-3159
Phone 503-636-0508 · Fax 503-636-0387
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