NPI 1134673924

Kristin Mary DO, PSYD

Practitioner Psychologist Tigard, OR

Practice location

Address: 7505 SW Beveland Rd STE 205, Tigard, OR 97223
Phone: (503) 888-4951
Fax: (971) 217-9029
Mailing address: 7505 SW Beveland Rd STE 205, Tigard, OR 97223-8682

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 3141 (OR)

Other Psychologist providers in Oregon →

Registry record

NPI: 1134673924
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2016
Record last updated: 24 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.