Clark, Kalin Burkhardt
Clark, Kalin Burkhardt is an individual health care provider with primary practice located at 3303 S Bond Ave , Portland OR 97239-4501. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Kalin Burkhardt can be contacted via phone (503) 494-4373.Contact Information
Primary practice address
3303 S Bond Ave
Portland OR 97239-4501
Phone: (503) 494-4373
Fax: (503) 418-4189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3096 | Oregon |
Behavioral Health & Social Service Providers / Health | 103TH0004X | PS01577 | Rhode Island |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3096 | Oregon |
Profile Details
NPI number | 1629446927 |
---|---|
LBN Legal business name | Clark, Kalin Burkhardt |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2015 |
Last updated | Nov 1st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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