- Practice location
- 7505 SW Beveland RD Ste 205, Tigard, OR 97223
- Phone
- 503-888-4951
- Fax
- 971-217-9029
- Last updated
- January 24, 2020
Kristin Mary DO is a Psychologist based in Tigard, OR. Kristin Mary DO practices in Tigard, OR and has the professional credentials of PSY D. The NPI Number for Kristin Mary DO is 1134673924 and holds a License No. 3141 (OR). The current practice location address for Kristin Mary DO is 7505 SW Beveland RD Ste 205, Tigard, OR 97223 and can be reached out via phone at 503-888-4951 and via fax at 971-217-9029.
Provider Profile Details
- NPI Number
- 1134673924
- Provider Name
- Kristin Mary DO
- Credential
- PSY D
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7505 SW Beveland RD Ste 205, Tigard, OR 97223
- Phone Number
- 503-888-4951
- Fax Number
- 971-217-9029
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Other Names
- Kristin Mary Nick, PSYD (Former Name)
- Provider Enumeration Date
- August 9, 2016
- Last Update Date
- January 24, 2020
- Certification Date
- January 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7505 SW Beveland RD Ste 205
Tigard, OR 97223 - City
- Tigard
- State
- Oregon
- Zip
- 97223
- Phone Number
- 503-888-4951
- Fax Number
- 971-217-9029
Provider Business Mailing Address Details
- Address
- 7505 SW Beveland RD Ste 205
Tigard, OR 97223-8682 - City
- Tigard
- State
- OR
- Zip
- 97223-8682
- Phone Number
- 503-888-4951
- Fax Number
- 971-217-9029
License Information
- License Number
- 3141
- License State
- OR
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Tigard, OR
View all Psychologists in Tigard →- Dr. Azanet Cabezas, PSYDPsychologist · NPI 1639398282
- Dr. Katherine Adams, PSYDPsychologist · NPI 1518625037
- Dr. Sanderson And Associates, LLCPsychologist · NPI 1124652821
- Dr. Wm. R Cavasher, PHDPsychologist · NPI 1225367113
- Ian L CampbellPsychologist · NPI 1508258492
- Mark Burton, PSYDPsychologist · NPI 1730209016
Frequently Asked Questions
What is the NPI number of Kristin M DO, PSY D?
The NPI number of Kristin M DO, PSY D is 1134673924. It was assigned on August 9, 2016 and is currently active in the NPPES registry.
What is the specialty of Kristin M DO, PSY D?
Kristin M DO, PSY D is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in OR under license number 3141.
Where does Kristin M DO, PSY D practice?
The practice location is 7505 SW Beveland RD Ste 205, Tigard, OR 97223. The office can be reached at 503-888-4951 (phone) or 971-217-9029 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134673924 directly on the NPPES registry website.