Individual
DR. ELSBETH JEAN MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
(503) 236-0855
(503) 233-4449
Mailing address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
(503) 236-0855
(503) 233-4449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
936
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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