Individual provider · Type 1 NPI

Andrew Pegram

Mental Health Counselor · Portland, OR

NPI number 1497238513 Active

Practice location

17720 NE Halsey St Ste A
Portland, OR 97230-6771

Call (541) 505-8426 Map

Fax (541) 515-6938

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1497238513

Andrew Pegram's National Provider Identifier is 1497238513, issued on Sep 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2023.