Provider Demographics
NPI:1285202085
Name:OLIVIA TORRES SPRAUER PSYD LLC
Entity Type:Organization
Organization Name:OLIVIA TORRES SPRAUER PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES SPRAUER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:503-773-4140
Mailing Address - Street 1:1530 N BLANDENA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-3320
Mailing Address - Country:US
Mailing Address - Phone:503-773-4140
Mailing Address - Fax:503-427-7884
Practice Address - Street 1:1530 N BLANDENA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-3320
Practice Address - Country:US
Practice Address - Phone:503-773-4140
Practice Address - Fax:503-427-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty