| Mind Matters Pc | |
|
18650 Nw Cornell Rd Suite 315 Hillsboro OR 97124-9207 | |
| (503) 352-0468 | |
| (503) 352-1024 |
| Full Name | Mind Matters Pc |
|---|---|
| Speciality | Psychologist |
| Location | 18650 Nw Cornell Rd, Hillsboro, Oregon |
| Authorized Official Name and Position | John Jacquot (ADMINISTRATOR) |
| Authorized Official Contact | 5033520468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters Pc 18650 Nw Cornell Rd Suite 315 Hillsboro OR 97124-9207 Ph: (503) 352-0468 | Mind Matters Pc 18650 Nw Cornell Rd Suite 315 Hillsboro OR 97124-9207 Ph: (503) 352-0468 |
| NPI Number | 1285839019 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 07/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285839019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | MD, PMHNP LPC (Oregon) | Primary |
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