Individual
JUSTINE LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 SW SKYLINE BLVD, PORTLAND, OR 97221-2533
(503) 444-7500
Mailing address
1507 SW MONTGOMERY ST APT B, PORTLAND, OR 97201-2611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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