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1083905996
BEAVERTON PSYCHOLOGY SERVICES LLC
BEAVERTON, OR
NPI
1083905996
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Entity Type
Organization
Authorized Contact
TERRI LYNN MISHLER
Manager
503-526-2917
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 811)
Enumeration Date
2011-04-26
Last Update Date
2020-12-23
Business Address
BEAVERTON PSYCHOLOGY SERVICES LLC
16110 SW REGATTA LN
BEAVERTON, OR 97006-8942
Phone number: 503-526-2917
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Mailing Address
BEAVERTON PSYCHOLOGY SERVICES LLC
16110 SW REGATTA LN
BEAVERTON, OR 97006-8942
Phone number: 503-526-2917
Copy
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