Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1136 | OR |
Y | 103TC0700X | Clinical Psychologist | 1136 | OR |
NPI | 1003960568 |
---|---|
Provider Name | Dr. Doreen Jeanette Dodgen-Magee |
First Address | Lake Oswego, OR 97035-8867 |
Second Address | Lake Oswego, OR 97035-8867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |