Individual
MISS JAIMIE LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(559) 708-6984
Mailing address
4942 SW BARBUR BLVD APT 3E, PORTLAND, OR 97239-2847
(559) 708-6984
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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