Individual
MRS. KRISTIN DAVIS HARQUAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
14815 SE DIVISION ST, PORTLAND, OR 97236-2336
(503) 761-7139
(503) 761-7917
Mailing address
1733 NE 51ST AVE, PORTLAND, OR 97213-2705
(503) 335-9837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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