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
Phone: (503) 673-6246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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