Individual
RODERICK P. CALKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2154 NE BROADWAY ST STE 110, PORTLAND, OR 97232-1561
(503) 320-3059
Mailing address
2154 NE BROADWAY ST STE 110, PORTLAND, OR 97232-1561
(503) 320-3059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048519
—
OR
Enumeration date
12/18/2006
Last updated
07/09/2007
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