Individual provider · Type 1 NPI
Zachary Caleb Douglass
Mental Health Counselor · Portland, OR
NPI number
1881825115
Active
Practice location
1312 SW Washington Street
Portland, OR 97205
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 1881825115
Zachary Caleb Douglass's National Provider Identifier is 1881825115, issued on Aug 4, 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 Aug 4, 2009.