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Individual

LORI QUEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7505 SW BEVELAND RD, SUITE 204, TIGARD, OR 97223-8682
(503) 639-6843
Mailing address
7505 SW BEVELAND RD, SUITE 204, TIGARD, OR 97223-8682
(503) 639-6843

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1114
OR

Other

Enumeration date
09/03/2006
Last updated
07/08/2007
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