Organization
PSYCHOLOGICAL HEALTH SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAMES LUNDY PH.D. (PSYCHOLOGIST)
(971) 678-3941
Entity
Organization
Contact information
Practice address
10000 SE MAIN ST STE 148, PORTLAND, OR 97216-2462
(971) 678-3941
(503) 252-2720
Mailing address
PO BOX 92004, PORTLAND, OR 97292-2004
(971) 678-3941
(503) 252-2720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
612
OR
Other
Enumeration date
12/20/2010
Last updated
11/24/2013
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