Individual
DR. DOUGLAS RICHARD KUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15110 BOONES FERRY RD, SUITE 350, LAKE OSWEGO, OR 97035-3468
(503) 730-2672
Mailing address
15110 BOONES FERRY RD, SUITE 350, LAKE OSWEGO, OR 97035-3468
(503) 730-2672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
450
OR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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