Individual
DR. JESSICA LINN CONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5 CENTERPOINTE DR STE 400, LAKE OSWEGO, OR 97035-8620
(971) 204-0241
(503) 431-2126
Mailing address
5 CENTERPOINTE DR STE 400, LAKE OSWEGO, OR 97035-8620
(971) 204-0241
(503) 431-2126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1716
OR
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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