Beaverton Psychology Services LLC

NPI #1083905996 in Beaverton, Oregon

Provider Information

NPI Number: 1083905996
Entity Type: Organization
Organization Name: Beaverton Psychology Services LLC
Primary Specialty: Psychologist
Enumeration Date: Apr 26, 2011
Last Updated: Dec 23, 2020

Practice Location

Address: 16110 SW REGATTA LN
City: Beaverton
State: Oregon
ZIP Code: 97006-8942
Phone: (503) 526-2917

Authorized Official

Name: DR. TERRI LYNN MISHLER, PSYD
Title: MANAGER
Phone: (503) 526-2917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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