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Individual

DR. MEGAN LARRAINE RABON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60837409
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164936
OR
Enumeration date
10/26/2011
Last updated
08/21/2020
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