Psychological Services Center, P.c. | |
1800 Blankenship Rd Ste 200 West Linn OR 97068-4174 | |
(971) 400-5544 | |
Not Available |
Full Name | Psychological Services Center, P.c. |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1800 Blankenship Rd Ste 200, West Linn, Oregon |
Authorized Official Name and Position | Terrence Wager (OWNER) |
Authorized Official Contact | 9714005544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Services Center, P.c. 1800 Blankenship Rd Ste 200 West Linn OR 97068-4174 Ph: (971) 400-5544 | Psychological Services Center, P.c. 1800 Blankenship Rd Ste 200 West Linn OR 97068-4174 Ph: (971) 400-5544 |
NPI Number | 1023408341 |
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Provider Enumeration Date | 01/24/2015 |
Last Update Date | 01/24/2015 |
Identifier | Type | State | Issuer |
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1023408341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC2200X | Psychologist - Clinical Child & Adolescent | 2220 (Oregon) | Primary |
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