Individual provider · Type 1 NPI

Scout Northway, MA

Mental Health Counselor · Gresham, OR

NPI number 1073275079 Active

Practice location

765 SE Mount Hood Hwy Apt 231
Gresham, OR 97080-7109

Call (503) 833-2846 Map

Other practice locations

  • 3615 NE Grand Ave, Portland, OR 97212-2104 · (503) 833-2846

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073275079

Scout Northway, MA's National Provider Identifier is 1073275079, issued on Oct 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Oct 7, 2021.