IVAN MATTHEW KRISTENSEN

TIGARD, OR
NPI1932476173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-11-16
Last Update Date2011-11-16
Business Address
-- IVAN MATTHEW KRISTENSEN
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3690
Mailing Address
-- IVAN MATTHEW KRISTENSEN
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3690
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