Provider Demographics
NPI:1316929805
Name:RICHLAND, LIANNE BETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:LIANNE
Middle Name:BETH
Last Name:RICHLAND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 SW HAMPTON ST STE 334
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8172
Mailing Address - Country:US
Mailing Address - Phone:503-422-3311
Mailing Address - Fax:503-443-3975
Practice Address - Street 1:6950 SW HAMPTON ST STE 334
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8172
Practice Address - Country:US
Practice Address - Phone:503-422-3311
Practice Address - Fax:503-443-3975
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1354103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical