| Stormer Psychology Llc | |
|
916 Sw King Ave Ste 203 Portland OR 97205-1320 | |
| (503) 902-5000 | |
| Not Available |
| Full Name | Stormer Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 916 Sw King Ave Ste 203, Portland, Oregon |
| Authorized Official Name and Position | Susan Marie Stormer (PSYCHOLOGIST) |
| Authorized Official Contact | 5039025000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stormer Psychology Llc 7327 Sw Barnes Rd # 420 Portland OR 97225-6119 Ph: (503) 902-5000 | Stormer Psychology Llc 916 Sw King Ave Ste 203 Portland OR 97205-1320 Ph: (503) 902-5000 |
| NPI Number | 1235994310 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235994310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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