Individual
DR. ELIZABETH KIRKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1375 SW BLAINE CT, GRESHAM, OR 97080-5383
(503) 661-4126
(503) 661-5304
Mailing address
1375 SW BLAINE CT, GRESHAM, OR 97080-5383
(503) 661-4126
(503) 661-5304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1082
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073356
VALUE OPTIONS
OR
01
—
117873
MHN
OR
01
—
12096895
MULTIPLAN
OR
01
—
5289377
CCN NETWORK
OR
Enumeration date
03/20/2007
Last updated
07/08/2007
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