Rebecca Weiss, Psy.D.
Psychologist in Portland, OR. Individual provider (NPI-1).
NPI number1609024694
StatusActive
Last updated in NPPESOct 13, 2014
Details
- NPI
- 1609024694
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Weiss
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2008
- Last updated
- Oct 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2427 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
9205 Sw Barnes RdMt 2800
Portland, OR 97225-6603
Phone 503-216-2621
Mailing address
Po Box 3158Portland, OR 97208-3158
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