Healthcare Provider Details

I. General information

NPI: 1225941057
Provider Name (Legal Business Name): COLLECTIVE AWARENESS PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 SE OAK GROVE BLVD
OAK GROVE OR
97267-2659
US

IV. Provider business mailing address

2210 SE OAK GROVE BLVD
OAK GROVE OR
97267-2659
US

V. Phone/Fax

Practice location:
  • Phone: 503-683-2532
  • Fax: 503-287-4940
Mailing address:
  • Phone: 503-683-2532
  • Fax: 503-287-4940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MAHONEY CROSSLEY
Title or Position: OWNER/PSYCHOLOGIST
Credential: PHD
Phone: 503-683-2532