Individual
LINDSAY ANTONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
(503) 542-4603
Mailing address
15039 SW ROYALTY PKWY APT M16, TIGARD, OR 97224-3972
(971) 864-8430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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