Individual
RAYMOND PASTORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1201 E 36TH AVE, ANCHORAGE, AK 99508
(907) 562-9229
(907) 562-1603
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
445
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029327
—
AK
Enumeration date
08/11/2006
Last updated
05/15/2018
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