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Contact Information

WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
890 SE 82ND
GLADSTONE, OR97027
 Phone: 503-659-5515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC

NPI Number 1295130532
LBN Legal business name WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Authorized official AMANDA ROBERTSON - (CONTRACT AND CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2014
Last updated 01/26/2018 - About 8 years ago
Identifiers
OR Medicaid 164936
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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