Wildwood Psychiatric Resource Center

LBN: Wildwood Psychiatric Resource Center
Wildwood Psychiatric Resource Center is an health care organization with primary practice located at 16110 Sw Regatta Ln , Beaverton OR 97006-8942. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Wildwood Psychiatric Resource Center can be contacted via phone (503) 629-2131, or through Howard, Ann J. via phone (503) 690-8606.

Contact Information

Primary practice address
16110 Sw Regatta Ln Beaverton OR 97006-8942
Phone: (503) 629-2131
Fax: (503) 617-9379
Website:
Map and Directions
Authorized official contact:
Name: Howard, Ann J. Doctor of Medicine (MD)
Phone: (503) 690-8606

Health care specialties

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

Profile Details

NPI number 1235181868
LBN Legal business name Wildwood Psychiatric Resource Center
DBA Doing business as
Authorized official Howard, Ann J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jul 23rd, 2009 - about 17 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 1235181868 NPPES
Oregon Other 054123000 BLUE CROSS NUMBER

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