Individual
YVETTE NASHAE LIGHTBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11326 SE 47TH AVE, MILWAUKIE, OR 97222-5459
(503) 353-5365
Mailing address
12400 SE FREEMAN WAY, MILWAUKIE, OR 97222-4611
(503) 353-6000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
553065
OR
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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