Individual
DR. CARLY NICOLE LINGENFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-6176
(503) 494-6152
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS018685
PA
103TC0700X
Clinical Psychologist
Primary
3324
OR
Other
Enumeration date
03/09/2015
Last updated
03/14/2024
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