Ivan Matthew Kristensen

NPI #1932476173 in Tigard, Oregon

Provider Information

NPI Number
1932476173
Entity Type
Individual
Name
Ivan Matthew Kristensen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Nov 16, 2011
Last Updated
Nov 16, 2011

Practice Location

Address
10313 SW 69TH AVE
City
Tigard
State
Oregon
ZIP Code
97223-9103
Phone
(503) 726-3690

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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