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VICTORIA RAVENSBERG PSY.D. LLC NPI 1871862532


NPI Information

NPI: 1871862532
Provider Name: VICTORIA RAVENSBERG, PSY.D., LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
14050 SW PACIFIC HWY STE 210
TIGARD, OR
ZIP 97224
Phone: (503) 536-3855
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VICTORIA RAVENSBERG, PSY.D., LLC is a clinical psychologist in Tigard, OR. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. VICTORIA RAVENSBERG, PSY.D., LLC NPI is 1871862532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14050 SW PACIFIC HWY STE 210
TIGARD, OR
ZIP 97224-890
Phone: (503) 536-3855
Fax: (503) 670-1034

The provider's authorized official is Victoria Ravensberg .
The authorized official title is Manager, Licensed Psychologist and has the following contact phone number (503) 536-3855.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical1740OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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