Individual
DR. CAROL J LANDESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8347 SE ORIENT DR, GRESHAM, OR 97080-8848
(503) 663-7767
(503) 663-7274
Mailing address
8347 SE ORIENT DR, GRESHAM, OR 97080-8848
(503) 663-7767
(503) 663-7274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
858
OR
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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