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1962781542
DERRIN YOSHIO KILIPAKI FUKUDA
PORTLAND, OR
NPI
1962781542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: OR 2399)
Enumeration Date
2011-08-12
Last Update Date
2016-09-30
Business Address
Dr. DERRIN YOSHIO KILIPAKI FUKUDA Psy.D.
516 SE MORRISON ST STE 400
PORTLAND, OR 97214-2344
Phone number: 971-242-8894
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Mailing Address
Dr. DERRIN YOSHIO KILIPAKI FUKUDA Psy.D.
516 SE MORRISON ST STE 400
PORTLAND, OR 97214-2344
Phone number: 971-242-8894
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