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Christopher Blaine Mikulic, PSYD
Clinical Psychologist in Lake Oswego, Oregon
NPI 1548759418

Christopher Blaine Mikulic is a Clinical Psychologist based in Portland, OR and is specialized in Clinical. Christopher Blaine Mikulic practices in Lake Oswego, OR and has the professional credentials of PSYD. The NPI Number for Christopher Blaine Mikulic is 1548759418 and holds a License No. 3693 (Oregon).

The current practice location address for Christopher Blaine Mikulic is 4004 Kruse Way Pl Ste 300, Lake Oswego, OR and can be reached out via phone at 503-216-1500.

Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548759418
Provider Name
Christopher Blaine Mikulic
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
4004 Kruse Way Pl Ste 300, Lake Oswego, OR, 97208-3158
Phone Number
503-216-1500
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4004 Kruse Way Pl Ste 300
City
Lake Oswego
State
Oregon
Zip
97035-2479
Phone Number
503-216-1500
Fax Number
person
Provider Business Mailing Address Details
Address
4004 Kruse Way Pl Ste 300
City
Lake Oswego
State
Oregon
Zip
97035-2479
Phone Number
503-216-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
3693 (Oregon)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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