Organization
NEW LEAVES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LYNNE ARNOLD PHD (OWNER)
(503) 274-0996
Entity
Organization
Contact information
Practice address
200 SW MARKET ST, STE #390, PORTLAND, OR 97201
(503) 274-0996
Mailing address
5319 SW WESTGATE DR, #241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1594
OR
103T00000X
Psychologist
Primary
1620
OR
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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