Individual
DR. LISA MARIE WURZELBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7175 SW BEVELAND RD, SUITE 200, TIGARD, OR 97223-8665
(503) 899-2157
Mailing address
7175 SW BEVELAND RD, SUITE 200, TIGARD, OR 97223-8665
(503) 899-2157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2319
OR
Other
Enumeration date
02/27/2008
Last updated
10/31/2023
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