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1720298656
JEANNE LYNNE CARLSON
PORTLAND, OR
NPI
1720298656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
(Licence: OR 1252)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. JEANNE LYNNE CARLSON Ph.D.
10531 SW CAPITOL HWY
PORTLAND, OR 97219-6812
Phone number: 503-916-5681
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Mailing Address
Dr. JEANNE LYNNE CARLSON Ph.D.
PO BOX 25563
PORTLAND, OR 97298-0563
Phone number: 503-916-5681
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