Individual
KALIN BURKHARDT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3096
OR
103TC0700X
Clinical Psychologist
Primary
3096
OR
103TH0004X
Health Psychologist
PS01577
RI
Other
Enumeration date
09/03/2015
Last updated
11/01/2022
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