| Doctor Name: | DR. KRIS D TESHERA |
| NPI Number: | 1033359708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | 1892 |
| Business Practice Address: | 9600 Sw Oak St Suite 280 Tigard, OR - 972236583 |
| Business Phone Number: | 5035211981 |
| Business Fax Number: | 5039355884 |
| Mailing Address: | 9600 Sw Oak St, Suite 280 TIGARD |
| State: | OR |
| Postal Code: | 972236583 |
| Phone Number: | 5035211981 |
| Fax Number: | 5039355884 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 02/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1892 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |