CHRISTOPHER BLAINE MIKULIC

LAKE OSWEGO, OR
NPI1548759418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  3693)
Enumeration Date2018-05-07
Last Update Date2024-02-02
Business Address
CHRISTOPHER BLAINE MIKULIC PsyD
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035-2479
Phone number: 503-216-1500
Mailing Address
CHRISTOPHER BLAINE MIKULIC PsyD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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