| Psychology & Wellness Group Pdx | |
|
7555 Sw Hermoso Way Ste 120 Tigard OR 97223-8684 | |
| (503) 345-3260 | |
| (503) 345-3052 |
| Full Name | Psychology & Wellness Group Pdx |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7555 Sw Hermoso Way Ste 120, Tigard, Oregon |
| Authorized Official Name and Position | Stephanie Snow (OWNER) |
| Authorized Official Contact | 5033453260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology & Wellness Group Pdx 7555 Sw Hermoso Way Ste 120 Tigard OR 97223-8684 Ph: (503) 345-3260 | Psychology & Wellness Group Pdx 7555 Sw Hermoso Way Ste 120 Tigard OR 97223-8684 Ph: (503) 345-3260 |
| NPI Number | 1306315965 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306315965 | NPI | - | NPPES |
| 500656380 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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