Organization · Type 2 NPI
Specialized Psychology Services, LLC
Adult Mental Health Clinic/Center · Portland, OR
NPI number
1053093518
Active
Practice location
620 SW 5th Ave Ste 900 #151
Portland, OR 97204-1431
Mailing address
10558 Highway 62 Ste B-1, Pmb 1011
Eagle Point, OR 97524-9436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1053093518
Specialized Psychology Services, LLC's National Provider Identifier is 1053093518, issued on Aug 3, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Portland, OR. The record was last updated on Nov 14, 2023.