Mark Henry LPC

NPI 1669618070 - Counselor - 101YM0800X

NPI Details
NPI 1669618070
Gender Male
Enumeration Date 01/07/2009
Last Updated 06/06/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
921 SW WASHINGTON ST
SUITE 460
PORTLAND OR, 97205-2827, US
Phone (888) 628-5959
Fax (503) 954-3227
Business Location
921 SW WASHINGTON ST
SUITE 460
PORTLAND OR, 97205-2827, US
Phone (888) 628-5959
Fax (503) 223-3345
Toxanomy
Taxonomy Code 101YM0800X
License State Oregon
License Number C1433
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According to our database, Mark Henry LPC NPI is 1669618070, taxonomy code is 101YM0800X and license number is C1433, license state is located at Oregon. Mark Henry LPC physically located at 921 Sw Washington St, Portland OR, 97205-2827. NPI Number Mark Henry LPC has the Individual type.

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1669618070 NPI number is provided on an as is basis without warranty of any kind. 1669618070 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Henry LPC are for informational purposes only.