Individual
KRISTEN ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
Mailing address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
201243255RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201405479NP-PP
OR
Other
Enumeration date
03/22/2013
Last updated
11/12/2021
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