Individual provider · Type 1 NPI

Theresa Witkowski

Mental Health Counselor · Portland, OR

NPI number 1649505322 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X200940792RN (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649505322

Theresa Witkowski's National Provider Identifier is 1649505322, issued on Oct 13, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 19, 2016.