NPI 1609431659 · live from the CMS NPI Registry
Marisol Elisa Beaulac, PsyD
Psychologist, Clinical in Hillsboro, OR. National Provider Identifier 1609431659, active.
NPI record
| NPI | 1609431659 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2920 Se Brookwood Ave Ste A, Hillsboro, OR 97123 |
| Practice phone | 971-417-6054 |
| Enumerated | May 6, 2019 |
| Last updated | October 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Clinical primary | 103TC0700X | 3828 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.