Individual
DR. KRISTA E DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8383 NE SANDY BLVD STE 110, PORTLAND, OR 97220-4966
(503) 273-5370
Mailing address
8383 NE SANDY BLVD STE 110, PORTLAND, OR 97220-4966
(503) 273-5370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002339
WA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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