| NPI | 1902208846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA SEREUA BECKER Clinical Psychologist Co Owner/Partn 503-720-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |