Individual
DR. JACOB M LEHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(971) 276-5922
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3663
OR
103TC0700X
Clinical Psychologist
PY61286416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711576
—
OR
Enumeration date
09/09/2014
Last updated
04/15/2024
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