Organization
A DRAGONFLY MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA R. ZUMBAHLEN PH.D. (OWNER/CLINICAL NEUROPSYCHOLOGIST)
(773) 669-8378
Entity
Organization
Contact information
Practice address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(773) 669-8378
(888) 977-2162
Mailing address
2849 SW SPRING GARDEN ST, PORTLAND, OR 97219-3984
(217) 369-1334
(888) 977-2162
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071009422
IL
103G00000X
Clinical Neuropsychologist
082604
IA
103G00000X
Clinical Neuropsychologist
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Other
Enumeration date
12/09/2016
Last updated
11/08/2021
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