Individual
DR. NANCY LOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2223 NE 47TH AVENUE, PORTLAND, OR 97213
(503) 335-2223
(503) 282-1332
Mailing address
2223 NE 47TH AVE, PORTLAND, OR 97213-1911
(503) 335-2223
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1758
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1758
OR
Other
Enumeration date
06/01/2007
Last updated
09/15/2009
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