KRISTINE L FALCO PSYD PC
Ambulatory Health at Main Ave, Black Butte Ranch, OR

License number
Oregon 781
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. KRISTINE FALCO
Title: CLINICAL PSYCHOLOGIST
Phone: (541) 480-4887
Address
Address
392 E Main Ave, Black Butte Ranch, OR 97759
National Provider ID: 1013234319
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KRISTINE L FALCO PSYD PC at bizstanding.com

KRISTINE L. FALCO, PSY.D., PC

Black Butte Ranch, OR

Registration:
Jul 18, 1995
Addresses:
392 E Main St, Sisters, OR 97759 (Physical)
PO Box 1717, Sisters, OR 97759 (Mailing)
State ID:
46827283
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Kristine Lfalco,392 E Main St, Sisters, OR 97759 (Physical)

Other Doctors licenses in Oregon