Individual
DR. JESSE E LOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1830 NE GRAND AVE, PORTLAND, OR 97212-3912
(503) 704-3895
Mailing address
16189 SW HOLLAND LN, SHERWOOD, OR 97140-9436
(503) 704-3895
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1823
OR
Other
Enumeration date
06/08/2008
Last updated
05/31/2010
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