Individual provider · Type 1 NPI

Marcus Lattimore

Mental Health Counselor · Portland, OR

NPI number 1356110456 Active

Practice location

1817 NE 6th Ave
Portland, OR 97212-3960

Mailing address

835 NE 114th Ave
Portland, OR 97220-2246

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356110456

Marcus Lattimore's National Provider Identifier is 1356110456, issued on Dec 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 29, 2023.