Individual
MR. CHRISTOPHER JAY LUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4004 NE 77TH AVE, PORTLAND, OR 97213-6438
(971) 227-5063
Mailing address
4004 NE 77TH AVE, PORTLAND, OR 97213-6438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60936143
WA
Other
Enumeration date
06/07/2017
Last updated
02/28/2020
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