Individual
DR. MARTHA JUI-LAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1230 NE 3RD ST STE A-160D, BEND, OR 97701-4367
(818) 253-9264
(844) 204-5067
Mailing address
1230 NE 3RD ST STE A-160D, BEND, OR 97701-4367
(818) 253-9264
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2518
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500681394
—
OR
Enumeration date
09/22/2010
Last updated
10/07/2022
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