Individual provider · Type 1 NPI

Karmen Leann Goudge

Mental Health Counselor · Gresham, OR

NPI number 1912250044 Active

Practice location

4101 NE Division St Suite 100
Gresham, OR 97030

Call (503) 666-3808 Map

Fax (503) 666-6835

Mailing address

C-O 4101 NE Division St Suite 100
Gresham, OR 97030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912250044

Karmen Leann Goudge's National Provider Identifier is 1912250044, issued on Oct 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Oct 26, 2012.