Individual
ALIA NM ZELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9860 SW HALL BLVD STE C3, TIGARD, OR 97223-8896
(971) 319-0340
(503) 719-7839
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 844-2840
(503) 844-2851
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2670
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2670
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500680624
—
OR
Enumeration date
04/16/2013
Last updated
11/05/2018
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