Individual
LYNNE B BISSONNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,PH.D.
Contact information
Practice address
2250 NW FLANDERS ST STE 306, PORTLAND, OR 97210-5411
(503) 226-0558
Mailing address
2250 NW FLANDERS ST STE 306, PORTLAND, OR 97210-5411
(503) 226-0558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10491
OR
Other
Enumeration date
04/10/2007
Last updated
07/16/2007
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