Individual provider · Type 1 NPI

Colton Hemenway

Mental Health Counselor · Portland, OR

NPI number 1629612718 Active

Practice location

12505 SE Raymond St
Portland, OR 97236-3931

Call (503) 760-8300 Map

Fax (503) 760-8308

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629612718

Colton Hemenway's National Provider Identifier is 1629612718, issued on Oct 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 7, 2020.