| Forest Psychological Clinic | |
|
15110 Boones Ferry Rd Ste 150 Lake Oswego OR 97035-3486 | |
| (971) 331-1366 | |
| (971) 715-0387 |
| Full Name | Forest Psychological Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15110 Boones Ferry Rd Ste 150, Lake Oswego, Oregon |
| Authorized Official Name and Position | James Thatcher (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9713531145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Psychological Clinic 15110 Boones Ferry Rd Ste 150 Lake Oswego OR 97035-3486 Ph: (971) 331-1366 | Forest Psychological Clinic 15110 Boones Ferry Rd Ste 150 Lake Oswego OR 97035-3486 Ph: (971) 331-1366 |
| NPI Number | 1457058166 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457058166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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