Organization · Type 2 NPI

Mentor Professional Corporation

Clinical Psychologist · Portland, OR

NPI number 1881813004 Active

Practice location

818 NW 17th Ave # 11
Portland, OR 97209-2327

Fax (503) 227-3836

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0947 (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 1881813004

Mentor Professional Corporation's National Provider Identifier is 1881813004, issued on Apr 25, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.