Individual
DR. THERESA L LAFAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
222 SE 8TH AVE STE 212, HILLSBORO, OR 97123-4218
(503) 352-3619
Mailing address
222 SE 8TH AVE STE 212, HILLSBORO, OR 97123-4218
(503) 352-3619
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2477
OR
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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