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1821310061
BRIAN LANTZ THOMPSON
PORTLAND, OR
NPI
1821310061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2010-02-15
Last Update Date
2010-02-15
Business Address
Dr. BRIAN LANTZ THOMPSON PhD
1830 NE GRAND AVE
PORTLAND, OR 97212-3912
Phone number: 503-281-4852
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Mailing Address
Dr. BRIAN LANTZ THOMPSON PhD
1830 NE GRAND AVE
PORTLAND, OR 97212-3912
Phone number: 503-281-4852
Copy
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