OrganizationActive
Western Psychological and Counseling Services PC
NPI 1447624663 · Health Maintenance Organization · Fairview, OR
Provider details
- NPI number
- 1447624663
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Amanda Robertson, Contract and Credentialing(503) 233-5405
- License
- LH 60489053 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
22070 Ne Chinook Way
Fairview, OR 97024-2647
Phone: (971) 275-0294
Approximate (ZIP-level) locationGet directions
Mailing address
22070 Ne Chinook Way
Fairview, OR 97024-2647
Registry dates
- Enumerated
- 2015-11-26
- Last updated
- 2018-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.