Individual
MICHAEL ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6018 SE STARK ST, PORTLAND, OR 97215-1990
(503) 887-7798
Mailing address
4021 NE 129TH PL, PORTLAND, OR 97230-1401
(503) 475-3193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1349
OR
Other
Enumeration date
02/22/2007
Last updated
01/08/2020
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