Provider Demographics
NPI:1144758970
Name:ASPIRE EDUCATIONAL ASSESSMENT AND CONSULTING LLC
Entity Type:Organization
Organization Name:ASPIRE EDUCATIONAL ASSESSMENT AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCSP
Authorized Official - Phone:503-804-6776
Mailing Address - Street 1:16157 SW AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-4045
Mailing Address - Country:US
Mailing Address - Phone:503-804-6776
Mailing Address - Fax:
Practice Address - Street 1:8885 SW CANYON RD STE 210
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3429
Practice Address - Country:US
Practice Address - Phone:503-707-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10374153103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty