Jennifer Stock, Ph.D., P.C.
Psychologist in Portland, OR. Organization (NPI-2).
NPI number1417080979
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1417080979
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer Stock, Ph.D., P.C.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1047 | OR | Yes |
Practice location
833 Sw 11th AveSuite 220
Portland, OR 97205-2125
Phone 503-242-1558
Mailing address
833 Sw 11th AveSuite 220
Portland, OR 97205-2125
Phone 503-242-1558
Authorized official
Jennifer Gayle Stock
President
5032421558
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