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CHILDREN'S PROGRAM

Developmental - Behavioral Pediatrics Physician

NPI: 1124187323Organization

Specialties, Licenses & Credentials

Counselor — Professional

Code: 101YP2500X

Psychologist — Clinical

Code: 103TC0700X

Psychologist — Clinical Child & Adolescent

Code: 103TC2200X

Pediatrics — Developmental - Behavioral Pediatrics

Code: 2080P0006X

Psychiatry & Neurology — Child & Adolescent Psychiatry

Code: 2084P0804X

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Contact & Hours

Address
7707 SW CAPITOL HWY
PORTLAND, OR 97219

Quick Facts

NPI
1124187323
Entity Type
Organization
Medicare
Not confirmed
Specialties
5
Locations
1

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