Individual
NICOLE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9370 SW GREENBURG RD STE 321, TIGARD, OR 97223-5421
(503) 770-0503
Mailing address
2140 SE BELMONT ST, PORTLAND, OR 97214-2815
(971) 895-1472
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8806
OR
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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