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1790038271
LYDIA ANNE M BARTHOLOW
PORTLAND, OR
NPI
1790038271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201250177NP)
Enumeration Date
2012-10-20
Last Update Date
2020-03-09
Business Address
LYDIA ANNE M BARTHOLOW PMHNP
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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Mailing Address
LYDIA ANNE M BARTHOLOW PMHNP
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 971-202-7774
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