Kristen Heather Marcaly M.A. QMHP

NPI 1780815811 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1780815811
Gender Female
Enumeration Date 08/06/2009
Last Updated 09/19/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
1500 NE IRVING ST
SUITE 250
PORTLAND OR, 97232-2243, US
Phone (503) 258-4200
Fax
Business Location
1500 NE IRVING ST
SUITE 250
PORTLAND OR, 97232-2243, US
Phone (503) 258-4200
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Kristen Heather Marcaly M.A. QMHP NPI is 1780815811, taxonomy code is 390200000X Kristen Heather Marcaly M.A. QMHP physically located at 1500 Ne Irving St, Portland OR, 97232-2243. NPI Number Kristen Heather Marcaly M.A. QMHP has the Individual type.

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1780815811 NPI number is provided on an as is basis without warranty of any kind. 1780815811 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Heather Marcaly M.A. QMHP are for informational purposes only.