Organization
MENTOR PROFESSIONAL CORPORATION
Active
Organization
MENTOR PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAELE P. DUNLAP PSY.D. (PRESIDENT)
(503) 227-2027
Entity
Organization
Contact information
Practice address
818 NW 17TH AVE # 11, PORTLAND, OR 97209-2327
(503) 227-2027
(503) 227-3836
Mailing address
818 NW 17TH AVE # 11, PORTLAND, OR 97209-2327
(503) 227-2027
(503) 227-3836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0947
OR
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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