Individual
ASHLEY N LANEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9205 SW BARNES RD STE MT2800, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3507
OR
103T00000X
Psychologist
38481
TX
Other
Enumeration date
04/29/2020
Last updated
04/26/2022
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