Individual provider · NPI-1

Dr. Debra R Applebaum, PhD

Psychologist, Clinical · Lake Oswego, OR

NPI number1811061260
StatusActive
Last updated in NPPESJan 27, 2017

Details

NPI
1811061260
Entity type
Individual (NPI-1)
Name
Dr. Debra R Applebaum
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 20, 2006
Last updated
Jan 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical1119ORYes

Practice location

9 Monroe Pkwy
Ste 280
Lake Oswego, OR 97035-8867

Phone 503-635-8710 · Fax 503-635-0583

Mailing address

9 Monroe Pkwy
Ste 280
Lake Oswego, OR 97035-8867

Phone 503-635-8710 · Fax 503-635-0583

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