Organization · Type 2 NPI

Evergreen Clinical

Clinical Psychologist · Portland, OR

NPI number 1386943587 Active

Practice location

5200 SW Macadam Ave, Suite 160
Portland, OR 97239-6103

Call (503) 236-6218 Map

Fax (503) 715-5649

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1407 (OR)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1386943587

Evergreen Clinical's National Provider Identifier is 1386943587, issued on Mar 28, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Mar 28, 2011.