Individual
DR. GENEVIEVE PRUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3808 N WILLIAMS AVE STE F, PORTLAND, OR 97227-1468
(971) 350-0900
(971) 350-1490
Mailing address
3808 N WILLIAMS AVE STE F, PORTLAND, OR 97227-1468
(971) 350-0900
(971) 350-1490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2898
OR
Other
Enumeration date
02/05/2013
Last updated
07/20/2022
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