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Individual

KERN ALVIN OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
2311 NW NORTHRUP ST, 207, PORTLAND, OR 97210-2994
(503) 705-8727
Mailing address
7805 SW GEARHART DR, BEAVERTON, OR 97007-6680
(503) 705-8727

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
382
OR

Other

Enumeration date
09/13/2006
Last updated
09/15/2008
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