Individual
JAN KYOKO KARADIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10011 SE DIVISION ST STE 203, PORTLAND, OR 97266-1354
(503) 233-5405
Mailing address
10011 SE DIVISION ST STE 203, PORTLAND, OR 97266-1354
(503) 505-3435
(503) 255-2344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2491
OR
133V00000X
Registered Dietitian
—
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2012
Last updated
03/18/2019
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