Victoria Ravensberg, Psy.d., Llc | |
14050 Sw Pacific Hwy Ste 210 Tigard OR 97224-4890 | |
(503) 536-3855 | |
(503) 670-1034 |
Full Name | Victoria Ravensberg, Psy.d., Llc |
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Speciality | Psychologist - Clinical |
Location | 14050 Sw Pacific Hwy Ste 210, Tigard, Oregon |
Authorized Official Name and Position | Victoria Ravensberg (MANAGER, LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 5035363855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Victoria Ravensberg, Psy.d., Llc 14050 Sw Pacific Hwy Ste 210 Tigard OR 97224-4890 Ph: (503) 536-3855 | Victoria Ravensberg, Psy.d., Llc 14050 Sw Pacific Hwy Ste 210 Tigard OR 97224-4890 Ph: (503) 536-3855 |
NPI Number | 1871862532 |
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Provider Enumeration Date | 12/23/2011 |
Last Update Date | 12/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871862532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1740 (Oregon) | Primary |
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