PORTLAND PEDIATRIC PSYCHOLOGY, LLC

PORTLAND, OR
NPI1508992652
Entity TypeOrganization
Authorized ContactGLORI GRUBBS GRAY
Owner/Therapist
503-673-6246
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OR  2482)
Enumeration Date2007-02-25
Last Update Date2015-03-25
Business Address
PORTLAND PEDIATRIC PSYCHOLOGY, LLC
1012 SW KING AVE.
PORTLAND, OR 97205-1106
Phone number: 503-673-6246
Mailing Address
PORTLAND PEDIATRIC PSYCHOLOGY, LLC
1012 SW KING AVE. SUITE 105
PORTLAND, OR 97205-3035
Phone number: 503-673-6246
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