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Ivan Matthew Kristensen
Mental Health Counselor in Tigard, Oregon
NPI 1932476173

Ivan Matthew Kristensen is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Ivan Matthew Kristensen practices in Tigard, OR. The NPI Number for Ivan Matthew Kristensen is 1932476173 and holds a License No. (Oregon).

The current practice location address for Ivan Matthew Kristensen is 10313 Sw 69Th Ave, Tigard, OR and can be reached out via phone at 503-726-3690.

Location: 10313 Sw 69Th Ave, Tigard, OR, 97223-9103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932476173
Provider Name
Ivan Matthew Kristensen
Credential
Provider Entity Type
Individual
Gender
Male
Address
10313 Sw 69Th Ave, Tigard, OR, 97223-9103
Phone Number
503-726-3690
Fax Number
Provider Enumeration Date
11/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10313 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-9103
Phone Number
503-726-3690
Fax Number
person
Provider Business Mailing Address Details
Address
10313 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-9103
Phone Number
503-726-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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