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1811342710
KRISTEN S WELLENBROCK
PORTLAND, OR
NPI
1811342710
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Former Name
KRISTEN S MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2665)
Enumeration Date
2016-04-28
Last Update Date
2022-06-07
Business Address
Dr. KRISTEN S WELLENBROCK PsyD
13908 SE STARK ST
PORTLAND, OR 97233-2161
Phone number: 503-255-2343
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Mailing Address
Dr. KRISTEN S WELLENBROCK PsyD
PO BOX 16308
PORTLAND, OR 97292-0308
Phone number: 503-255-2343
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