Provider Demographics
NPI:1437285319
Name:RAMOS-MARCHAND, ANGELINA (PSYD)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:RAMOS-MARCHAND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:
Other - Last Name:MARCHAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, LLC
Mailing Address - Street 1:PO BOX 13101
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-0101
Mailing Address - Country:US
Mailing Address - Phone:503-528-8404
Mailing Address - Fax:503-528-8405
Practice Address - Street 1:516 SE MORRISON ST
Practice Address - Street 2:SUITE 705
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2327
Practice Address - Country:US
Practice Address - Phone:503-367-9687
Practice Address - Fax:503-528-8405
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1693103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR875045000OtherREGENCE BCBS