NPI 1285942631

Robert Lundblad PSY.D. P.C.

Organisation Preferred Provider Organization Salem, OR

Practice location

Address: 2695 12th Pl SE, Salem, OR 97302-2537
Phone: (503) 779-8645
Fax: (503) 315-7571

Authorised official

Name: Robert Theodore Lundblad
Title: Owner
Phone: (503) 779-8645

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1688 (OR)

Other Preferred Provider Organization providers in Oregon →

Registry record

NPI: 1285942631
Entity type: Organization
NPI issued: 20 Sep 2010
Record last updated: 20 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.