Wildwood Psychiatric Resource Center

NPI #1235181868 in Beaverton, Oregon

Provider Information

NPI Number: 1235181868
Entity Type: Organization
Organization Name: Wildwood Psychiatric Resource Center
Primary Specialty: Psychologist
Enumeration Date: May 16, 2006
Last Updated: Jul 23, 2009

Practice Location

Address: 16110 SW REGATTA LN
City: Beaverton
State: Oregon
ZIP Code: 97006-8942
Phone: (503) 629-2131

Authorized Official

Name: DR. ANN J. HOWARD, MD
Title: PRESIDENT
Phone: (503) 690-8606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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