Individual provider · Type 1 NPI

Eden Virgina Park, QMHA

Mental Health Counselor · Wilsonville, OR

NPI number 1316303357 Active

Practice location

29120 SW San Remo Ct
Wilsonville, OR 97070-7373

Call (503) 682-1840 Map

Fax (503) 682-1873

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316303357

Eden Virgina Park, QMHA's National Provider Identifier is 1316303357, issued on Jan 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilsonville, OR. The record was last updated on Jun 12, 2019.