Individual provider · Type 1 NPI

Bethany Randall, QMHP

Mental Health Counselor · Tigard, OR

NPI number 1366878282 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Mailing address

7231 SE Carlton St
Portland, OR 97206-6429

Other practice locations

  • 7231 SE Carlton St, Portland, OR 97206-6429 · (503) 267-7402
  • 29197 SW Orleans Ave, Wilsonville, OR 97070-7388 · (503) 427-0182

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1366878282

Bethany Randall, QMHP's National Provider Identifier is 1366878282, issued on Sep 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Mar 17, 2018.