Individual
MS. LILLIAN DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
4316 SE WASHINGTON ST, MILWAUKIE, OR 97222-5356
(503) 583-2287
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8478
OR
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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