Individual
KYLIE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7942 SW 35TH AVE, PORTLAND, OR 97219-2462
(208) 921-6549
Mailing address
7942 SW 35TH AVE, PORTLAND, OR 97219-2462
(208) 921-6549
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3794
OR
Other
Enumeration date
08/15/2024
Last updated
09/10/2024
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