ROBERT LUNDBLAD PSY.D. P.C.
Managed Care Organizations at 12 Pl, Salem, OR

License number
Oregon 1688
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. ROBERT THEODORE LUNDBLAD PSY.D.
Title: OWNER
Phone: (503) 779-8645
Address
Address
2695 12Th Pl SE, Salem, OR 97302
National Provider ID: 1285942631
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT LUNDBLAD PSYD PC

687 Church St NE, Salem, OR 97301

Industry:
Health Practitioner's Office
Registration:
Nov 8, 2006
State ID:
39415799
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principal:
Robert Lundblad (Principal)
Agent:
Robert Lundblad,687 Church St NE, Salem, OR 97301 (Physical)

Robert Lundblad Psyd PC

2695 12 Pl SE, Salem, OR 97302

Industry:
Specialty Outpatient Clinic
Psy Ds:
Robert T. Lundblad (Clinical Psychologis, Owner, Principal),Sandra Lynne Lundblad (Psy D)

Managed Care Organizations licenses in Oregon