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1174848022
LANE DEWAN
TIGARD, OR
NPI
1174848022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1949)
Enumeration Date
2010-04-05
Last Update Date
2020-07-02
Business Address
LANE DEWAN Psy.D.
11575 SW PACIFIC HWY # 1031
TIGARD, OR 97223-8671
Phone number: 503-395-5122
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Mailing Address
LANE DEWAN Psy.D.
11575 SW PACIFIC HWY # 1031
TIGARD, OR 97223-8671
Phone number: 503-395-5122
Copy
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