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Individual

DR. RONALD D SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
14655 NW JEWELL LN, PORTLAND, OR 97229-9228
(503) 617-0584

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1157
OR

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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