THEODORE R ASKWITH

PROVIDENCE HEALTH AND SERVICES OREGON

Dr THEODORE R ASKWITH is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2011.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

THEODORE R ASKWITH Information

Npi 1720405566
Pac Id 8022232891
Professional Enrollment Id I20140617002261
Last Name ASKWITH
First Name THEODORE
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
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Hospital Affiliation Lbn 1
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Hospital Affiliation Lbn 3
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Professional Accepts Medicare Assignment Y

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