Individual
ELIJAH JOHN STRONG LOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1200 HILYARD ST STE 440, EUGENE, OR 97401-8122
(458) 205-6061
(458) 205-6248
Mailing address
1115 SE 164TH AVE, VANCOUVER, WA 98683-9324
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3651
OR
103T00000X
Psychologist
PY60764108
WA
Other
Enumeration date
03/15/2015
Last updated
08/08/2023
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