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Individual

LYNN KULANDER COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5441 SW MACADAM AVE STE 200, PORTLAND, OR 97239-3822
(503) 753-9695
Mailing address
5441 SW MACADAM AVE STE 200, PORTLAND, OR 97239-3822

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2405
OR
103TC1900X
Counseling Psychologist
2405
OR

Other

Enumeration date
01/07/2019
Last updated
01/07/2019
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