Individual
MICHELLE JACINTA KIRTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE: L-587 (STUDENT HEALTH SERVICE), PORTLAND, OR 97239-3011
(503) 494-8665
(503) 494-2958
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: L-587 (STUDENT HEALTH SERVICE), PORTLAND, OR 97239-3011
(503) 494-8665
(503) 494-2958
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1492
OR
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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