Individual provider · Type 1 NPI
Melinda White Redburn, MA, LPC
Professional Counselor · Portland, OR
NPI number
1609150143
Active
Practice location
4520 SW Water Ave, Suite 202
Portland, OR 97239-4033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C2722 (OR) |
Professional Counselor: Definition to come...
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About NPI 1609150143
Melinda White Redburn, MA, LPC's National Provider Identifier is 1609150143, issued on Oct 3, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Oct 3, 2011.