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1760593065
RONALD D SANDOVAL
PORTLAND, OR
NPI
1760593065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1157)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. RONALD D SANDOVAL Ph.D.
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-285-9321
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Mailing Address
Dr. RONALD D SANDOVAL Ph.D.
14655 NW JEWELL LN
PORTLAND, OR 97229-9228
Phone number: 503-617-0584
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SPECIALIZED PSYCHOLOGY SERVICES, LLC