Individual
NATHANIEL ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7419 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5838
(415) 271-9720
Mailing address
7419 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5838
(415) 271-9720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31729
CA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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