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Individual

DR. JOSHUA DANIEL LAUBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068-3284
(503) 653-0631
(503) 653-1464
Mailing address
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068-3284
(503) 653-0631
(503) 653-1464

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2515
OR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2515
OR

Other

Enumeration date
07/30/2010
Last updated
01/26/2018
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