Individual provider · Type 1 NPI

Mary Therese Eagle, M.A., L.P.C.

Professional Counselor · Beaverton, OR

NPI number 1487808796 Active

Practice location

10700 SW Beaverton Hillsdale Hwy, Suite 525
Beaverton, OR 97005-3019

Call (503) 359-9789 Map

Fax (503) 359-0929

Mailing address

3239 Circle Crest Drive
Forest Grove, OR 97116

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC1841 (OR)

Professional Counselor: Definition to come...

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About NPI 1487808796

Mary Therese Eagle, M.A., L.P.C.'s National Provider Identifier is 1487808796, issued on Nov 13, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaverton, OR. The record was last updated on Nov 13, 2008.