Organization
NORTHWEST FAMILY PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDON E POPPLETON (OWNER)
(360) 910-1522
Entity
Organization
Contact information
Practice address
10121 SE SUNNYSIDE RD, SUITE 300, CLACKAMAS, OR 97015-5745
(503) 454-6834
Mailing address
208 E 25TH ST, VANCOUVER, WA 98663-3219
(360) 910-1522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
97342399
OR
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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