Organization · Type 2 NPI

Mike Siegel LPC LLC

Professional Counselor · Portland, OR

NPI number 1619274099 Active

Practice location

7409 SW Capitol Hwy, Suite 209
Portland, OR 97219-2432

Mailing address

PO Box 80273
Portland, OR 97280-1273

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2452 (OR)

Professional Counselor: Definition to come...

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About NPI 1619274099

Mike Siegel LPC LLC's National Provider Identifier is 1619274099, issued on Feb 19, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 19, 2011.