Individual
ALYSSA MICHELLE NOLDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
610 SW BROADWAY STE 306, PORTLAND, OR 97205-3404
(503) 926-5298
Mailing address
6880 N SENECA ST, PORTLAND, OR 97203-2538
(915) 525-9655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3043
OR
Other
Enumeration date
10/12/2015
Last updated
05/28/2019
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