Lynn Marie Van Male, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1465 Issued in OR

Practice address

3710 SW US Veterans Hospital
Portland VA Medical Center
Portland, OR 97207

Phone

(503) 220-8262

Fax

(360) 750-9533

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851300867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1035, V3MHC",
            "address_2": "PORTLAND VA MEDICAL CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97207",
            "telephone_number": "503-220-8262",
            "fax_number": "360-750-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL",
            "address_2": "PORTLAND VA MEDICAL CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97207",
            "telephone_number": "503-220-8262",
            "fax_number": "360-750-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MALE",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Reuel Van Horn, PAC
• Laura Elizabeth Van Houten, LAURA VAN HOUTEN, MD
• Erin Victoria Sneddon Van Kleek, LCSW
• Aasher Van Laer, QMHA
• Dirk Jacob Van Leeuwen, M.D., PH.D., FAASLD
• Nicholas Van Marter-Sanders
• Richard Van Marter-Sanders
• George Leonard Van Meter, PA-C
• Sante L Van Meter, DA
• Skip Van Meter, L.AC.

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.