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Individual

DR. JAN LISONBEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.-PSYCHOLOGIST

Contact information

Practice address
516 SE MORRISON STREET, SUITE 1020, PORTLAND, OR 97214
(503) 295-3606
(503) 241-4727
Mailing address
516 SE MORRISON STREET, SUITE 1020, PORTLAND, OR 97214
(503) 295-3606
(503) 241-4727

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0654
OR

Other

Enumeration date
11/29/2006
Last updated
10/25/2011
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