Individual
DR. LISA ANN NIKUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1070 NW MURRAY RD, SUITE #3, PORTLAND, OR 97229-5568
(503) 671-0520
(503) 671-0520
Mailing address
1070 NW MURRAY RD, SUITE #3, PORTLAND, OR 97229-5568
(503) 671-0520
(503) 671-0520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1316
OR
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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