Individual
DR. DONALD EDWARD LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8040 SW CAPITOL HILL RD, PORTLAND, OR 97219-2670
(503) 977-9949
(503) 293-2310
Mailing address
1809 SW BROADLEAF DR, PORTLAND, OR 97219-6370
(503) 245-9748
(503) 293-2310
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
644
OR
103TH0100X
Health Service Psychologist
Primary
644
OR
Other
Enumeration date
11/01/2006
Last updated
09/11/2025
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