Individual provider · NPI-1
David Thomas Bice, PhD
Psychologist, Clinical · Lake Oswego, OR
NPI number1417033952
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1417033952
- Entity type
- Individual (NPI-1)
- Name
- David Thomas Bice
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 283 | OR | Yes |
Practice location
Nine Monroe ParkwaySuite 280
Lake Oswego, OR 97035
Phone 503-635-1084 · Fax 503-635-8411
Mailing address
Nine Monroe ParkwaySuite 280
Lake Oswego, OR 97035
Phone 503-635-1084 · Fax 503-635-8411
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