Individual
LOREN PANKRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1525 SW PALATINE ST, PORTLAND, OR 97219-7657
(503) 452-8949
Mailing address
1525 SW PALATINE ST, PORTLAND, OR 97219-7657
(503) 452-8949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
215
OR
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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