Individual provider · Type 1 NPI

Donald Edward Lange, PhD

Health Service Psychologist · Portland, OR

NPI number 1386722247 Active

Practice location

8040 SW Capitol Hill Rd
Portland, OR 97219-2670

Fax (503) 293-2310

Mailing address

1809 SW Broadleaf Dr
Portland, OR 97219-6370

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000X644 (OR)
Health Service Psychologist Primary 103TH0100X644 (OR)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1386722247

Donald Edward Lange, PhD's National Provider Identifier is 1386722247, issued on Nov 1, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.