Organization · Type 2 NPI

Portland Pediatric Psychology, LLC

Community/Behavioral Health Agency · Portland, OR

NPI number 1508992652 Active

Practice location

1012 SW King Ave.
Portland, OR 97205-1106

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X2482 (OR)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1508992652

Portland Pediatric Psychology, LLC's National Provider Identifier is 1508992652, issued on Feb 25, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2015.