Individual
LYNN LARSON DEBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3800 N INTERSTATE AVE, PORTLAND, OR 97227-1110
(503) 335-6796
(503) 335-6311
Mailing address
3800 N INTERSTATE AVE, PORTLAND, OR 97227-1110
(503) 335-6796
(503) 335-6311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1206
OR
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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