NPI:
1699398792
Provider Name:
C. DAVID MAXEY, M.A.
Doing Business As: C. DAVID MAXEY, M.A.
Classification:
Clinic/Center - 261QM0855X
Entity Type:
Organization
Specialization: Adolescent and Children Mental Health
Address:
6950 SW HAMPTON ST STE 207
PORTLAND, OR
ZIP 97223
Phone:
(503) 928-4182
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C. DAVID MAXEY, M.A. is an adolescent and children mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. C. DAVID MAXEY, M.A. NPI is 1699398792. The provider is registered as an organization entity type.
The provider Is Doing Business As C. David Maxey, M.a..
The provider's business location address is:
6950 SW HAMPTON ST STE 207
PORTLAND, OR
ZIP 97223-234
Phone: (503) 928-4182
Fax: (503) 926-6433
The provider's authorized official is Charles David Maxey .
The authorized official title is Licensed Psychologist Associate and has the following contact phone number (503) 928-4182.
The enumeration date for this NPI number is 5/22/2020 and was last updated on 7/17/2022.