Kris D Teshera, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1892 Issued in OR

Practice address

9600 SW Oak St
Suite 280
Tigard, OR 97223-6583

Phone

(503) 521-1981

Fax

(503) 935-5884

NPI assigned

Feb 20, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristian D Teshera Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1033359708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW OAK ST",
            "address_2": "SUITE 280",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236583",
            "telephone_number": "503-521-1981",
            "fax_number": "503-935-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW OAK ST",
            "address_2": "SUITE 280",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236583",
            "telephone_number": "503-521-1981",
            "fax_number": "503-935-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESHERA",
        "first_name": "KRIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIAN",
            "last_name": "TESHERA",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Tigard, OR
• Providers in Tigard, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.