Individual
LYNDSAY CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 SE 10TH AVE, PORTLAND, OR 97214-4624
(971) 260-9705
Mailing address
3125 NE HOLLADAY ST UNIT B, PORTLAND, OR 97232-2504
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
111273
OR
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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