360 Pediatric Psychology, Pc

LBN: 360 Pediatric Psychology, Pc
360 Pediatric Psychology, Pc is an health care organization with primary practice located at 201 B Ave. Suite #285, Lake Oswego OR 97034. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. 360 Pediatric Psychology, Pc can be contacted via phone (503) 636-0508, or through Becker, Tabitha Sereua via phone (503) 720-9234.

Contact Information

Primary practice address
201 B Ave. Suite #285 Lake Oswego OR 97034
Phone: (503) 636-0508
Fax: (503) 636-0387
Website:
Map and Directions
Authorized official contact:
Name: Becker, Tabitha Sereua PSY. D
Phone: (503) 720-9234

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1902208846
LBN Legal business name 360 Pediatric Psychology, Pc
DBA Doing business as
Authorized official Becker, Tabitha Sereua PSY. D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2014
Last updated Sep 23rd, 2014 - about 12 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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