Psych Nw, Pc

LBN: Psych Nw, Pc
Psych Nw, Pc is an health care organization with primary practice located at 17704 Jean Way Ste 105 , Lake Oswego OR 97035-5586. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Psych Nw, Pc can be contacted via phone (503) 877-0711, or through Alvord, Scott T via phone (503) 476-5005.

Contact Information

Primary practice address
17704 Jean Way Ste 105 Lake Oswego OR 97035-5586
Phone: (503) 877-0711
Fax: (503) 914-0315
Website:
Map and Directions
Authorized official contact:
Name: Alvord, Scott T PSY, D
Phone: (503) 476-5005

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1929 Oregon

Profile Details

NPI number 1487047007
LBN Legal business name Psych Nw, Pc
DBA Doing business as
Authorized official Alvord, Scott T PSY, D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2015
Last updated Mar 5th, 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 1487047007 NPPES
Oregon MEDICAID 500614581MCD

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