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Individual

MELISSA B KIRKPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
7505 SE 18TH AVE, PORTLAND, OR 97202-6136
(503) 260-2964
Mailing address
7505 SE 18TH AVE, PORTLAND, OR 97202-6136
(503) 260-2964

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
142378
OR

Other

Enumeration date
02/23/2021
Last updated
02/23/2021
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