Individual
KRISTEN ISLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 NW EVERETT ST APT 408, PORTLAND, OR 97209-1027
(503) 816-0592
Mailing address
2081 NW EVERETT ST APT 408, PORTLAND, OR 97209-1027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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