Individual
DR. JONATHAN LURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, CADC III
Contact information
Practice address
10373 NE HANCOCK ST, SUITE 220, PORTLAND, OR 97220-3873
(503) 261-1850
(503) 639-8044
Mailing address
10373 NE HANCOCK ST, SUITE 220, PORTLAND, OR 97220-3873
(503) 261-1850
(503) 639-8044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1302
OR
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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