Individual
KRISTEN LAUREN MACKIEWICZ SEGHETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L470, PORTLAND, OR 97239-3011
(503) 494-3029
Mailing address
3181 SW SAM JACKSON PARK RD, L470, PORTLAND, OR 97239-3011
(503) 494-3029
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2245
OR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2245
OR
Other
Enumeration date
02/10/2010
Last updated
04/04/2013
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