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Individual

DR. CHRISTINE NOEL KRAUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6221 NE FREMONT ST, SUITE 200, PORTLAND, OR 97213-4437
(971) 207-7371
(503) 289-2317
Mailing address
6221 NE FREMONT ST, SUITE 200, PORTLAND, OR 97213-4437
(971) 207-7371
(503) 289-2317

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1458
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268705
OR
Enumeration date
02/01/2007
Last updated
07/09/2007
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