Individual provider · Type 1 NPI

Christopher Blaine Mikulic, PSYD

Clinical Psychologist · Lake Oswego, OR

NPI number 1548759418 Active

Practice location

4004 Kruse Way Pl Ste 300
Lake Oswego, OR 97035-2479

Call (503) 216-1500 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X3693 (OR)

Clinical Psychologist: 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 discip…

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About NPI 1548759418

Christopher Blaine Mikulic, PSYD's National Provider Identifier is 1548759418, issued on May 7, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Oswego, OR. The record was last updated on Feb 2, 2024.