Terry Alan Forrest LPC

NPI 1063603074 - Counselor - 101YP2500X

NPI Details
NPI 1063603074
Gender Male
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
PORTLAND OR, 97205-2327, US
Phone (503) 535-1174
Fax (503) 535-1191
Business Location
PO BOX 3007
PORTLAND OR, 97208-3007, US
Phone (503) 535-1174
Fax (503) 535-1191
Taxonomy Code 101YP2500X
License State Oregon
License Number C0410
Remove 1063603074 NPI Number

According to our database, Mr. Terry Alan Forrest LPC NPI is 1063603074, taxonomy code is 101YP2500X and license number is C0410, license state is located at Oregon. Terry Alan Forrest LPC physically located at 1312 Sw Washington St, Portland OR, 97205-2327. NPI Number Terry Alan Forrest LPC has the Individual type.

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1063603074 NPI number is provided on an as is basis without warranty of any kind. 1063603074 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Alan Forrest LPC are for informational purposes only.