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Individual

DR. KEVIN BARRY MCGOVERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
13831 NW CORNELL RD, SUITE 103, PORTLAND, OR 97229-5485
(503) 644-6600
(503) 643-3798
Mailing address
13831 NW CORNELL RD, SUITE 103, PORTLAND, OR 97229-5485
(503) 644-6600
(503) 643-3798

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
278
OR
103TC0700X
Clinical Psychologist
278
OR
103TF0200X
Forensic Psychologist
278
OR

Other

Enumeration date
04/24/2007
Last updated
09/11/2025
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