| NPI | 1083327308 |
|---|---|
| Doing Business As | LWD PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LANE DEWAN Clinical Psychologist 503-395-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |