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Individual

TRUDE ZMOELNIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
668 MCVEY AVE, 123, LAKE OSWEGO, OR 97034-4853
(503) 636-4819
Mailing address
668 MCVEY AVE, 123, LAKE OSWEGO, OR 97034-4853
(503) 636-4819

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 15468 INACTIVE
CA

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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