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Individual

KRISTINE LIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
Mailing address
4008 SE 79TH AVE, PORTLAND, OR 97206-3303
(971) 506-3551

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10205977
OR

Other

Enumeration date
12/26/2020
Last updated
12/26/2020
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