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Individual

DAVID LEWALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068-3284
(503) 653-0631
(503) 653-1464
Mailing address
190 SE 8TH AVE # 181, HILLSBORO, OR 97123-4216
(503) 352-7333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary

Other

Enumeration date
09/26/2015
Last updated
01/22/2025
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