| Jennifer Stock, Ph.d., P.c. | |
|
833 Sw 11th Ave Suite 220 Portland OR 97205-2125 | |
| (503) 242-1558 | |
| Not Available |
| Full Name | Jennifer Stock, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 833 Sw 11th Ave, Portland, Oregon |
| Authorized Official Name and Position | Jennifer Gayle Stock (PRESIDENT) |
| Authorized Official Contact | 5032421558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stock, Ph.d., P.c. 833 Sw 11th Ave Suite 220 Portland OR 97205-2125 Ph: (503) 242-1558 | Jennifer Stock, Ph.d., P.c. 833 Sw 11th Ave Suite 220 Portland OR 97205-2125 Ph: (503) 242-1558 |
| NPI Number | 1417080979 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417080979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1047 (Oregon) | Primary |
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