Individual
DR. DAVID WINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
6950 SW HAMPTON ST, STE. 218, TIGARD, OR 97223-8329
(503) 972-8957
Mailing address
9220 SW BARBUR BLVD, STE 119-241, PORTLAND, OR 97219-5428
(503) 972-8957
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1702
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838736000
REGENCE BLUECROSS
OR
01
—
8942728
CRIME VICTIMS
WA
Enumeration date
10/02/2006
Last updated
12/11/2013
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