Organization · Type 2 NPI
Pine Mountain Counseling
Mental Health Counselor · Portland, OR
NPI number
1790305233
Active
Practice location
7805 SW 40th Ave Unit 19932
Portland, OR 97219-1643
Mailing address
PO Box 19932
Portland, OR 97280-0932
Other practice locations
- 4341 SW Bella Pl, Beaverton, OR 97005-3443 · (503) 455-4305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790305233
Pine Mountain Counseling's National Provider Identifier is 1790305233, issued on Apr 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 24, 2020.