Individual
CHRISTINE ELIZABETH HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1821 SE ANKENY ST, PORTLAND, OR 97214-1521
(503) 236-4506
(503) 236-4501
Mailing address
1821 SE ANKENY ST, PORTLAND, OR 97214-1521
(503) 236-4506
(503) 236-4501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1562
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J 4301 01
PACIFIC SOURCE
OR
Enumeration date
05/10/2007
Last updated
08/23/2007
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