Individual
THOMAS KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
Mailing address
7548 SW LANDAU ST, TIGARD, OR 97223-1028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1760
OR
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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