Individual
LYDIA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239-4285
(503) 292-0765
Mailing address
14490 SE WY EAST AVE, DAMASCUS, OR 97089-7817
(971) 221-0940
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4122
OR
103TC0700X
Clinical Psychologist
4122
OR
Other
Enumeration date
02/10/2021
Last updated
04/03/2026
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