Individual
KRISTIN MARY DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
7505 SW BEVELAND RD STE 205, TIGARD, OR 97223
(503) 888-4951
(971) 217-9029
Mailing address
7505 SW BEVELAND RD STE 205, TIGARD, OR 97223-8682
(503) 888-4951
(971) 217-9029
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3141
OR
Other
Enumeration date
08/09/2016
Last updated
01/24/2020
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