OrganizationActive
360 Pediatric Psychology, PC
NPI 1902208846 · Clinical Child & Adolescent Psychologist · Lake Oswego, OR
Provider details
- NPI number
- 1902208846
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Tabitha Becker, Clinical Psychologist Coowner/Partn
Practice location
201 B Ave.
Suite #285
Lake Oswego, OR 97034
Phone: (503) 636-0508
Fax: (503) 636-0387
Mailing address
201 B Ave.
Lake Oswego, OR 97034
Registry dates
- Enumerated
- 2014-09-23
- Last updated
- 2014-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.