Individual
DR. BRIAN LANTZ THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1830 NE GRAND AVE, PORTLAND, OR 97212-3912
(503) 281-4852
(503) 281-4852
Mailing address
1830 NE GRAND AVE, PORTLAND, OR 97212-3912
(503) 281-4852
(503) 281-4852
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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