| Northwest Child Assessment, Llc | |
|
8228 Sw 171st Pl Beaverton OR 97007-6787 | |
| (503) 314-6505 | |
| Not Available |
| Full Name | Northwest Child Assessment, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8228 Sw 171st Pl, Beaverton, Oregon |
| Authorized Official Name and Position | Marion Ruth David (OWNER) |
| Authorized Official Contact | 5033146505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Child Assessment, Llc 8228 Sw 171st Pl Beaverton OR 97007-6787 Ph: (503) 314-6505 | Northwest Child Assessment, Llc 8228 Sw 171st Pl Beaverton OR 97007-6787 Ph: (503) 314-6505 |
| NPI Number | 1659916401 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659916401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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