Individual
DR. KAREN DIMALANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7455 SW BEVELAND, TIGARD, OR 97223
(503) 624-2600
Mailing address
P.O. BOX 82819, PORTLAND, OR 97282
(503) 624-2600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1469
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
10/12/2006
Last updated
08/26/2007
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