Individual
MRS. LEA S BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
425 N SANTIAM HWY, LEBANON, OR 97355-4361
(541) 451-6960
Mailing address
3722 NE 67TH AVE, PORTLAND, OR 97213-5106
(541) 451-6960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2391
OR
Other
Enumeration date
09/09/2010
Last updated
04/29/2014
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