Individual
DR. LYNN MARIE VAN MALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL, PORTLAND VA MEDICAL CENTER, PORTLAND, OR 97207
(503) 220-8262
(360) 750-9533
Mailing address
PO BOX 1035, V3MHC, PORTLAND VA MEDICAL CENTER, PORTLAND, OR 97207
(503) 220-8262
(360) 750-9533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1465
OR
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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