OrganizationActive
Beaverton Psychology Services LLC
NPI 1083905996 · Psychologist · Beaverton, OR
Provider details
- NPI number
- 1083905996
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Terri Mishler, Manager(503) 526-2917
- License
- 811 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
16110 Sw Regatta Ln
Beaverton, OR 97006-8942
Phone: (503) 526-2917
Approximate (ZIP-level) locationGet directions
Mailing address
16110 Sw Regatta Ln
Beaverton, OR 97006-8942
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.