Individual
PAUL SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
8440 SE SUNNYBROOK BLVD, STE 120, CLACKAMAS, OR 97015-5780
(503) 653-0631
Mailing address
8440 SE SUNNYBROOK BLVD, STE 120, CLACKAMAS, OR 97015-5780
(503) 653-0631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
607
OR
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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