Individual
DR. ELLIOTT LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
414 N MERIDIAN ST, NEWBERG, OR 97132-2697
(503) 554-2372
Mailing address
12545 SW FAIRFIELD ST, BEAVERTON, OR 97005-1431
(626) 201-2189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2425
OR
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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