Most Relevant Information
Provider Data
| NPI Number: | 1003055278 |
| Provider Name: | DOUGLAS L DUNLAP PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 769 |
Most Important Dates
| Enumeration Date: | 02/11/2009 |
| Last Updated: | 02/11/2009 |
Provider Practice Location
1121 NE 2ND AVE
PORTLAND
OR
972322043
Practice Location Phone/Fax
| Phone: | 5037318692 |
| Fax: |
Provider Mailing Location
1121 NE 2ND AVE
PORTLAND
OR
972322043
Provider Mailing Phone/Fax
| Phone: | 5037318692 |
| Fax: |