| Oak & Fern Psychotherapy | |
|
9500 Sw Barbur Blvd Ste 110 Portland OR 97219-5425 | |
| (503) 884-6921 | |
| Not Available |
| Full Name | Oak & Fern Psychotherapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9500 Sw Barbur Blvd Ste 110, Portland, Oregon |
| Authorized Official Name and Position | Nicholas Schollars (PSYCHOLOGIST) |
| Authorized Official Contact | 5038846921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak & Fern Psychotherapy 9500 Sw Barbur Blvd Ste 110 Portland OR 97219-5425 Ph: (503) 910-6379 | Oak & Fern Psychotherapy 9500 Sw Barbur Blvd Ste 110 Portland OR 97219-5425 Ph: (503) 884-6921 |
| NPI Number | 1104662055 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104662055 | NPI | - | NPPES |
| 60054 | Other | OR | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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