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Individual

DR. JOHN LAWRENCE MCMANUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
15100 BOONES FERRY RD, SUITE 850, LAKE OSWEGO, OR 97035-3469
(503) 636-0111
(503) 977-9583
Mailing address
15100 BOONES FERRY RD, SUITE 850, LAKE OSWEGO, OR 97035-3469
(503) 636-0111
(503) 977-9583

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1159
OR

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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