Lundgren, Andrew

Lundgren, Andrew is an sole proprietor health care provider with primary practice located at 9725 Sw Beaverton Hillsdale Hwy Ste 230 , Beaverton OR 97005-4755. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lundgren, Andrew can be contacted via phone (503) 430-5762.

Contact Information

Primary practice address
9725 Sw Beaverton Hillsdale Hwy Ste 230 Beaverton OR 97005-4755
Phone: (503) 430-5762
Fax: (503) 672-7668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0711 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C2301 Oregon

Profile Details

NPI number 1194995944
LBN Legal business name Lundgren, Andrew
Credentials M.A., LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2008
Last updated Nov 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194995944 NPPES
Oregon MEDICAID 500775896

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