CAROLINE BACON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1295549301- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9815 SW CENTER ST, TIGARD, OR, 97223
- Phone
- (503) 726-3740
Specialties & Taxonomies
Counselor, Mental Health
Primary License: OR