Individual provider · Type 1 NPI

Ivan Matthew Kristensen

Mental Health Counselor · Tigard, OR

NPI number 1932476173 Active

Practice location

10313 SW 69th Ave
Tigard, OR 97223-9103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1932476173

Ivan Matthew Kristensen's National Provider Identifier is 1932476173, issued on Nov 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Nov 16, 2011.