Individual provider · Type 1 NPI

Patricia Diane Simmons, NONE

Mental Health Counselor · Portland, OR

NPI number 1639218191 Active

Practice location

5009 NE Killingsworth St.
Portland, OR 97218-1212

Call (503) 402-8116 Map

Fax (503) 284-2093

Mailing address

2029 NE 80th Ave
Portland, OR 97213-6623

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639218191

Patricia Diane Simmons, NONE's National Provider Identifier is 1639218191, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.