Forrest Kublick PSY.D.

NPI 1043419609 - Psychologist - 103TC0700X

NPI Details
NPI 1043419609
Gender Male
Enumeration Date 07/13/2007
Last Updated 07/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1962 NW KEARNEY ST
SUITE 201
PORTLAND OR, 97209-1400, US
Phone (503) 318-7736
Fax (503) 287-4355
Business Location
1962 NW KEARNEY ST
SUITE 201
PORTLAND OR, 97209-1400, US
Phone (503) 318-7736
Fax (503) 287-4355
Toxanomy
Taxonomy Code 103TC0700X
License State Oregon
License Number 1660
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According to our database, Dr. Forrest Kublick PSY.D. NPI is 1043419609, taxonomy code is 103TC0700X and license number is 1660, license state is located at Oregon. Forrest Kublick PSY.D. physically located at 1962 Nw Kearney St, Portland OR, 97209-1400. NPI Number Forrest Kublick PSY.D. has the Individual type.

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1043419609 NPI number is provided on an as is basis without warranty of any kind. 1043419609 is maintained by the National Plan & Provider Enumeration System. The contents of Forrest Kublick PSY.D. are for informational purposes only.