Individual
DR. ALLAN R. KIRKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
688 EVELYN ST, ROSEBURG, OR 97470-9624
(541) 680-7080
Mailing address
688 EVELYN ST, ROSEBURG, OR 97471-9624
(541) 680-7080
(541) 672-9915
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
492
OR
Other
Enumeration date
07/09/2006
Last updated
05/18/2011
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