Organization · Type 2 NPI
Paul Myers, Ph.d., LLC
Adult Mental Health Clinic/Center · Portland, OR
NPI number
1134633100
Active
Practice location
5441 SW Macadam Ave Ste 104
Portland, OR 97239-3821
Fax (503) 248-6385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 1092 (OR) |
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 1134633100
Paul Myers, Ph.d., LLC's National Provider Identifier is 1134633100, issued on Nov 28, 2017. 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 28, 2017.