Individual provider · Type 1 NPI
Maile Louise Grumm, LPC
Professional Counselor · Portland, OR
NPI number
1801952908
Active
Practice location
1925 SE 47th Ave
Portland, OR 97215-3209
Fax (503) 710-9072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C0361 (OR) |
Professional Counselor: Definition to come...
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About NPI 1801952908
Maile Louise Grumm, LPC's National Provider Identifier is 1801952908, issued on Dec 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Apr 24, 2020.