Individual
KRISTIN MARIE BARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4690 12TH AVE NE, KEIZER, OR 97303
(503) 393-5447
Mailing address
4690 12TH AVE NE, KEIZER, OR 97303-3802
(503) 393-5447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10071793902
PROVIDENCE
OR
01
—
CDQ121426303001
INDEPENDENCE
OR
Enumeration date
08/15/2018
Last updated
08/15/2018
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