Affiliated Psychological Associates, INC.
Psychologist, Clinical in Portland, OR. Organization (NPI-2).
NPI number1942383906
StatusActive
Last updated in NPPESFeb 20, 2017
Details
- NPI
- 1942383906
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Psychological Associates, INC.
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Feb 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
5319 Sw Westgate Dr Ste 147Portland, OR 97221-2430
Phone 503-380-3777
Mailing address
5319 Sw Westgate Dr Ste 147Portland, OR 97221-2430
Phone 503-380-3777
Authorized official
Larry Stephen Hart
President
5033803777
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