-- MARY NEES D'AUTREMONT -- MA QMHP
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1780736942- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MA QMHP
- Status
- Active
Contact & Location
- Address
- 2415 SE 43RD AVE, PORTLAND, OR, 972061600
- Phone
- (503) 238-0705
- Fax
- (053) 236-7166
Specialties & Taxonomies
Counselor, Mental Health
Primary
All Addresses
MAILING
23008 S BLAND CIR
WEST LINN, OR, 970688283