Unknown Individual – Mental Health Counselor, NPI 1417039900
Mental Health Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8023 SW 31 AV.
PORTLAND, OR 972193708
Phone: (503) 246-6743
Type: Mailing
19185, Southwest 90th Avenue, Arya at Hedges Creek, Tualatin, Metro, Washington County, Oregon, 97062, United States
TUALATIN, OR 970627558
Phone: (503) 885-7300
Fax: (503) 885-7373
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97219)
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