Kristin DO, PSYD, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KRISTIN DO, PSYD, LLC

Practice address

7505 SW Beveland St., Ste 205
Tigard, OR 97223-8682

Phone

(503) 888-4951

Fax

(971) 217-3924

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Kristin Mary DO

Title

Clinical Psychologist

Phone

(503) 888-4951

Specialties & licenses 1

Addresses

Other names 1

• Kristin Do, PsyD Other name

Locations

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1982246005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 SW BEVELAND ST., STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238682",
            "telephone_number": "503-888-4951",
            "fax_number": "971-217-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 SW BEVELAND ST., STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238682",
            "telephone_number": "503-888-4951",
            "fax_number": "971-217-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN DO, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-888-4951"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristin Do, PsyD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kristin Do, PsyD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Kowalczyk, OTR/L, OTD, MHA
• Patricia Kozak, OD
• Frank J Kratochvil III, DDS
• Wiliam D Kreml
• Ivan Matthew Kristensen
• Crystal Dewi Roslina Kriswandi, DMD
• Andrea Kroese, QMHP
• Nikole Kruger
• Christopher Kenji Kubota
• Jeffrey Kuck

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.