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NPI Code Detail

MEDICARE: DR. STEVEN J VINCENT PSYD

MEDICARE: DR. STEVEN J VINCENT PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1180OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053483933
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN J VINCENT PSYD
Provider Business Mailing Address
First Line : PO BOX 82819
Second Line :
City : PORTLAND
State : OR
Zip : 97282-0819
Country : US
Telephone Number : 503-233-5405
Fax Number : 503-233-2696
Provider Business Practice Location Address
First Line : 8280 NE MAUZEY CT
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-9092
Country : US
Telephone Number : 503-439-9531
Fax Number : 503-531-3841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 12/22/2023

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