Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1245 | OR |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1245 | OR |
Y | 103G00000X | Clinical Psychologist | 1245 | OR |
Y | 103TC0700X | Clinical Psychologist | 1245 | OR |
N | 103TC1900X | Counseling Psychologist | 1245 | OR |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1245 | OR |
N | 103TF0000X | Family Psychologist | 1245 | OR |
N | 103TH0100X | Health Service | 1245 | OR |
N | 103TP2701X | Group Psychotherapist | 1245 | OR |
NPI | 1548454465 |
---|---|
Provider Name | Dr. George A Howard |
First Address | Lake Oswego, OR 97035-7865 |
Second Address | Lake Oswego, OR 97035-8661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 30/10/2019 |