Reverie Psychotherapy LLC

NPI #1295453686 in Beaverton, Oregon

Provider Information

NPI Number: 1295453686
Entity Type: Organization
Organization Name: Reverie Psychotherapy LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 22, 2022
Last Updated: Aug 22, 2022

Practice Location

Address: 1500 NW BETHANY BLVD STE 200
City: Beaverton
State: Oregon
ZIP Code: 97006-5236
Phone: (503) 966-2395

Authorized Official

Name: PRISCILLA SHIM, PSYD
Title: OWNER AND SOLE MEMBER
Phone: (503) 966-2395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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