Individual provider · Type 1 NPI

Adhanet Mehretab

Mental Health Counselor · Portland, OR

NPI number 1356609796 Active

Practice location

17640 NE Halsey St
Portland, OR 97230-6733

Call (503) 489-5045 Map

Fax (503) 489-5638

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 1356609796

Adhanet Mehretab's National Provider Identifier is 1356609796, issued on Apr 23, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 23, 2020.