Portland Pediatric Psychology, Llc

LBN: Portland Pediatric Psychology, Llc
Portland Pediatric Psychology, Llc is an health care organization with primary practice located at 1012 Sw King Ave. , Portland OR 97205-1106. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Portland Pediatric Psychology, Llc can be contacted via phone (503) 673-6246, or through Gray, Glori Grubbs via phone (503) 673-6246.

Contact Information

Primary practice address
1012 Sw King Ave. Portland OR 97205-1106
Fax:
Website:
Authorized official contact:
Name: Gray, Glori Grubbs PSYD, MSW

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 2482 Oregon

Profile Details

NPI number 1508992652
LBN Legal business name Portland Pediatric Psychology, Llc
DBA Doing business as
Authorized official Gray, Glori Grubbs PSYD, MSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2007
Last updated Mar 25th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508992652 NPPES
North Carolina Other 3598 CAROLINAS BEHAVIORAL HEAL
North Carolina Other 135J9 CAROLINAS BEHAVIORAL HEAL
North Carolina MEDICAID 6002627 CAROLINAS BEHAVIORAL HEAL

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