Organization
ROBERT LUNDBLAD PSY.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THEODORE LUNDBLAD PSY.D. (OWNER)
(503) 779-8645
Entity
Organization
Contact information
Practice address
2695 12TH PL SE, SALEM, OR 97302-2537
(503) 779-8645
(503) 315-7571
Mailing address
2695 12TH PL SE, SALEM, OR 97302-2537
(503) 779-8645
(503) 315-7571
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1688
OR
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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