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Individual

CAROL E MENUSTIK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1322 NE ORENCO STATION PKWY, STE 250, HILLSBORO, OR 97124-5411
(503) 241-0771
(503) 248-0975
Mailing address
1322 NE ORENCO STATION PKWY, STE 250, HILLSBORO, OR 97124-5411
(503) 241-0771

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0513
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121657
OR
Enumeration date
04/03/2006
Last updated
08/23/2017
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