Jonathan James Lundy in Portland - Psychologist
Jonathan James Lundy - NPI 1336215805
Jonathan James Lundy is a Psychologist in Portland, Oregon. Jonathan James Lundy practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jonathan James Lundy is 1336215805. The last update date is 2007-07-08.
Jonathan James Lundy's current location address is 10000 Se Main St, Portland, Oregon. You can contact this provider via phone number 5032529690 and fax number 5032522720. The mailing address for Jonathan James Lundy is 10000 Se Main St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan James Lundy |
|---|---|
| Address | 10000 Se Main St, Portland, Oregon |
| Phone Number | 5032529690 |
| Fax Number | 5032522720 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1336215805 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10000 Se Main St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972162442 |
| Phone Number | 5032529690 |
| Fax Number | 5032522720 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 612 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Jonathan James Lundy's unique identification number?
The Jonathan James Lundy has been assigned the NPI (National Provider Identifier) Number 1336215805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jonathan James Lundy is located?
The Jonathan James Lundy is situated at the following address: 10000 Se Main St, Portland, OR, 972162442.
What is Jonathan James Lundy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jonathan James Lundy is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Jonathan James Lundy receive the assignment of its 1336215805 from the Centers for Medicare & Medicaid Services?
The Jonathan James Lundy was issued its 1336215805 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details related to Jonathan James Lundy most recently updated or revised?
The information pertaining to Jonathan James Lundy, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457367500
Address: 675 W. North Avenue, Edm Consultant Services Ltd,, Melrose Park, IL