Individual
DR. RYAN KUEHLTHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
04 SW HAMILTON ST, PORTLAND, OR 97239
(971) 258-1310
(971) 404-3434
Mailing address
04 SW HAMILTON ST, PORTLAND, OR 97239-4095
(971) 258-1310
(971) 404-3434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2231
OR
Other
Enumeration date
10/17/2008
Last updated
04/23/2019
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