NPI 1124808571
Elliott Lawless, PSYD
Practice location
- Address
- 414 N Meridian St, Newberg, OR 97132-2697
- Phone
- (503) 554-2372
- Mailing address
- 12545 SW Fairfield St, Beaverton, OR 97005-1431
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1124808571
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Oct 2023
- Record last updated
- 3 Oct 2023
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.