KRISTIAN GREGORY KINGSTAD

PORTLAND, OR
NPI1467232868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-10-03
Last Update Date2023-10-03
Business Address
KRISTIAN GREGORY KINGSTAD
11 SW GIBBS ST
PORTLAND, OR 97239-4660
Phone number: 503-206-8856
Mailing Address
KRISTIAN GREGORY KINGSTAD
11 SW GIBBS ST
PORTLAND, OR 97239-4660
Phone number: 503-206-8856
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