Kristin DO, Psyd, LLC
Psychologist in Tigard, OR. Organization (NPI-2).
NPI number1982246005
StatusActive
Last updated in NPPESJan 24, 2020
Details
- NPI
- 1982246005
- Entity type
- Organization (NPI-2)
- Legal business name
- Kristin DO, Psyd, LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Jan 24, 2020
- Last updated
- Jan 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Other names
- Kristin DO, Psyd (Other Name)
Practice location
7505 Sw Beveland St., Ste 205Tigard, OR 97223-8682
Phone 503-888-4951 · Fax 971-217-3924
Mailing address
7505 Sw Beveland St., Ste 205Tigard, OR 97223-8682
Phone 503-888-4951 · Fax 971-217-3924
Authorized official
Kristin Mary DO
Clinical Psychologist
5038884951
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