Individual
MS. KRISTINE MARIE ROUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
245 SW SALIX TER, BEAVERTON, OR 97006-3522
(541) 571-1165
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OR
Other
Enumeration date
10/09/2012
Last updated
07/12/2016
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