VICTORIA RAVENSBERG, PSY.D., LLC (NPI# 1871862532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871862532 |
| Entity Type | Organization |
| Organization Name | VICTORIA RAVENSBERG, PSY.D., LLC |
| Practice Address |
14050 Sw Pacific Hwy Ste 210 Tigard OR 97224-4890 |
| Practice Telephone | 5035363855 |
| Practice Fax Number | 5036701034 |
| Mailing Telephone | 5035363855 |
| Mailing Fax Number | 5036701034 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | DR. VICTORIA RAVENSBERG (MANAGER, LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 5035363855 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1740 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | VICTORIA RAVENSBERG, PSY.D., LLC | 328 W Main St, Ste A200, Hillsboro, OR 97123 |
| Street Address |
14050 SW PACIFIC HWY STE 210 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-4890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407498918 | Skyhook Fitness | Psychologist | 12008 Sw Garden Pl, Tigard, OR 97223-8263 | 2019-10-16 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1518300862 | Alia Nm Zelder | Psychologist | 9860 Sw Hall Blvd Ste C3, Tigard, OR 97223-8896 | 2013-04-16 |
| 1700107505 | Lindsay K. Heydenrych | Psychologist | 7000 Sw Hampton St Ste 125, Tigard, OR 97223-8317 | 2010-06-15 |
| 1174848022 | Lane Dewan | Psychologist | 11575 Sw Pacific Hwy # 1031, Tigard, OR 97223-8671 | 2010-04-05 |
| 1841469616 | Tara Sanderson | Psychologist | 11845 Sw Greenburg Rd Ste 210, Tigard, OR 97223-6464 | 2008-02-26 |
| 1184820086 | Daniel Combs | Psychologist | 7340 Sw Hunziker St, Suite 210, Tigard, OR 97223-8285 | 2007-06-26 |
| 1699971770 | Edward Bruce Versteeg | Psychologist | 6975 Sw Sandburg St, Suite 340, Tigard, OR 97223-8073 | 2007-06-25 |
| 1316078942 | Timothy D. Kopet | Psychologist | 7505 Sw Beveland Rd Ste 203, Tigard, OR 97223-8682 | 2007-03-07 |
| 1982755716 | Victoria Jane Ravensberg | Psychologist | 14050 Sw Pacific Hwy, Suite 210, Tigard, OR 97224-4890 | 2007-01-16 |
| Find all providers in TIGARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.