Organization
MOVING BOUNDARIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH KIRKHART PH.D. (VICE PRESIDENT)
(503) 661-4126
Entity
Organization
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
Enumeration date
03/20/2007
Last updated
08/22/2020
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