Individual
KRISTIN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 310-1580
Mailing address
4005 NE ROYAL CT, PORTLAND, OR 97232-2674
(503) 310-1580
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
109576
OR
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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