Individual
MR. LANDON MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5200 SW MACADAM AVE, SUITE 580, PORTLAND, OR 97239-6103
(503) 231-7854
Mailing address
5805 MILL SPRING LN, MIDLOTHIAN, VA 23112-2345
(804) 814-9176
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
2645
OR
Other
Enumeration date
07/17/2014
Last updated
01/04/2016
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