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1114029774
LORI QUEEN
TIGARD, OR
NPI
1114029774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1114)
Enumeration Date
2006-09-03
Last Update Date
2007-07-08
Business Address
-- LORI QUEEN Ph.D.
7505 SW BEVELAND RD SUITE 204
TIGARD, OR 97223-8682
Phone number: 503-639-6843
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Mailing Address
-- LORI QUEEN Ph.D.
7505 SW BEVELAND RD SUITE 204
TIGARD, OR 97223-8682
Phone number: 503-639-6843
Copy
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