Individual provider · Type 1 NPI
Cory Tollefson
Mental Health Counselor · Portland, OR
NPI number
1063345536
Active
Practice location
2425 NE Saratoga St
Portland, OR 97211-5955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063345536
Cory Tollefson's National Provider Identifier is 1063345536, issued on Jun 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2026.