Individual
CHANDRA MUNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
917 SW OAK ST STE 407B, PORTLAND, OR 97205-2838
(510) 229-8541
Mailing address
2244 NE COUCH ST UNIT B, PORTLAND, OR 97232-3525
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2544
OR
103TC0700X
Clinical Psychologist
PY60795371
WA
Other
Enumeration date
11/12/2008
Last updated
04/13/2020
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