Individual
MR. ANDREW LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT, LPC
Contact information
Practice address
9725 SW BEAVERTON HILLSDALE HWY STE 230, BEAVERTON, OR 97005-4755
(503) 430-5762
(503) 672-7668
Mailing address
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225-1775
(503) 430-5762
(503) 672-7668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2301
OR
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
T0711
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500775896
—
OR
Enumeration date
03/07/2008
Last updated
11/02/2021
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