Tom Zondervan QMHP

NPI 1922144930 - Counselor - 101YM0800X

NPI Details
NPI 1922144930
Gender Male
Enumeration Date 01/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2415 SE 43RD AVE
PORTLAND OR, 97206-1600, US
Phone (503) 963-2560
Fax
Business Location
25003 S BEESON RD
BEAVERCREEK OR, 97004-9783, US
Phone (503) 632-6322
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
Remove 1922144930 NPI Number
 

According to our database, Tom Zondervan QMHP NPI is 1922144930, taxonomy code is 101YM0800X Tom Zondervan QMHP physically located at 2415 Se 43rd Ave, Portland OR, 97206-1600. NPI Number Tom Zondervan QMHP has the Individual type.

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1922144930 NPI number is provided on an as is basis without warranty of any kind. 1922144930 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Zondervan QMHP are for informational purposes only.