Ivan Matthew Kristensen
Ivan Matthew Kristensen is a Mental Health Counselor in Tigard, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
10313 SW 69th AveTigard, OR 97223-9103
Phone: (503) 726-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1932476173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 16, 2011 |
| Last updated in NPPES | November 16, 2011 |
| Mailing address | 10313 Sw 69th Ave, Tigard, OR 97223-9103 |
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