Individual
MR. SAND HOWARD CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER OF ARTS PSYCH
Contact information
Practice address
19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124-7031
(503) 617-2319
Mailing address
19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124-7031
(503) 617-2319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5049
OR
Other
Enumeration date
08/14/2006
Last updated
07/11/2007
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