Organization
SERENDIB PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUSHANTHI SURINI SAMARATUNGE PSY.D (OWNER)
(971) 373-0415
Entity
Organization
Contact information
Practice address
14523 WESTLAKE DR, LAKE OSWEGO, OR 97035-7700
(971) 373-0415
(971) 333-8352
Mailing address
14523 WESTLAKE DR, LAKE OSWEGO, OR 97035-7700
(971) 373-0415
(971) 333-8352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
11/01/2020
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