Individual provider · Type 1 NPI
Charles John Sudbeck, MS
Mental Health Counselor · Portland, OR
NPI number
1972657591
Active
Practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Fax (503) 205-0190
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 1972657591
Charles John Sudbeck, MS's National Provider Identifier is 1972657591, issued on Jan 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.