Individual
ZACHARY THOMAS STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222-2185
(503) 786-1711
(503) 786-9919
Mailing address
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222-2185
(503) 786-1711
(503) 786-9919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
3796
OR
Other
Enumeration date
12/11/2019
Last updated
09/24/2024
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