Individual provider · Type 1 NPI
Alli Marie Santa, MA
Professional Counselor · Beaverton, OR
NPI number
1417769720
Active
Practice location
16269 SW Medallion Ln
Beaverton, OR 97007-7873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C10121 (OR) |
Professional Counselor: Definition to come...
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About NPI 1417769720
Alli Marie Santa, MA's National Provider Identifier is 1417769720, issued on Jan 23, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaverton, OR. The record was last updated on Feb 6, 2026.