Individual provider · NPI-1

Dr. Andrew E Bliesner, Psy.D.

Psychologist, Clinical · Lake Oswego, OR

NPI number1245570605
StatusActive
Last updated in NPPESNov 14, 2016

Details

NPI
1245570605
Entity type
Individual (NPI-1)
Name
Dr. Andrew E Bliesner
Credential
Psy.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 22, 2013
Last updated
Nov 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical2536ORYes

Practice location

14523 Westlake Dr Ste A
Lake Oswego, OR 97035-7700

Phone 503-984-7353 · Fax 503-372-9094

Mailing address

14523 Westlake Dr Ste A
Lake Oswego, OR 97035-7700

Phone 503-984-7353 · Fax 503-372-9094

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