Individual
LILLIAN DOUGALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15290 SW ROYALTY PKWY, TIGARD, OR 97224-4059
(971) 256-4050
Mailing address
6125 BONITA RD APT J203, LAKE OSWEGO, OR 97035-2240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-101287
CA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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