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Individual

DR. JASON BRIAN LUOMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1940 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 260-8424
Mailing address
5324 NE 12TH AVE, PORTLAND, OR 97211-4302
(503) 281-4852

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1661
OR

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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