Dr. Serita Backstrand, Psy.D
Psychologist in Beaverton, OR. Individual provider (NPI-1).
NPI number1265831705
StatusActive
Last updated in NPPESApr 1, 2019
Details
- NPI
- 1265831705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Serita Backstrand
- Credential
- Psy.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2014
- Last updated
- Apr 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2933 | OR | Yes |
| 103T00000X | Psychologist | PY60776565 | WA |
Practice location
1791 Nw 173rd Ave Ste 140Beaverton, OR 97006
Phone 503-533-9806 · Fax 503-352-1809
Mailing address
1791 Nw 173rd Ave Ste 140Beaverton, OR 97006-5630
Phone 503-533-9806 · Fax 503-352-1809
Other practice locations
208 E 25th Street
Nw Family Psychology, LLC
Vancouver, WA 98663-3219
Nw Family Psychology, LLC
Vancouver, WA 98663-3219
Phone 360-910-1522 · Fax 360-326-1522
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