Provider Demographics
NPI:1134242027
Name:LAHMAN, FRANK GIBSON (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:GIBSON
Last Name:LAHMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 NW CLOVER PL
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3422
Mailing Address - Country:US
Mailing Address - Phone:541-758-6453
Mailing Address - Fax:
Practice Address - Street 1:3150 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1350
Practice Address - Country:US
Practice Address - Phone:800-452-2147
Practice Address - Fax:800-574-2193
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR723103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist