| Lwd Psychology Llc | |
|
7175 Sw Beveland Street Suite 200 Tigard OR 97223 | |
| (503) 395-5122 | |
| Not Available |
| Full Name | Lwd Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7175 Sw Beveland Street, Tigard, Oregon |
| Authorized Official Name and Position | Lane Dewan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5033955122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lwd Psychology Llc 7175 Sw Beveland Street Suite 200 Tigard OR 97223 Ph: (503) 395-5122 | Lwd Psychology Llc 7175 Sw Beveland Street Suite 200 Tigard OR 97223 Ph: (503) 395-5122 |
| NPI Number | 1083327308 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083327308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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