MARTIN TERRANCE LALLY

PORTLAND, OR
NPI1285725689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: OR  712)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- MARTIN TERRANCE LALLY PhD Psychologist
1121 NE 2ND OREGON STATE HOSPITAL
PORTLAND, OR 97232
Phone number: 503-731-8656
Mailing Address
-- MARTIN TERRANCE LALLY PhD Psychologist
PO BOX 14900 STATE OF OREGON IRS UNIT
SALEM, OR 97309-5016
Phone number: 503-945-9840
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