person
John Matthew Livengood
Mental Health Counselor in Portland, Oregon
NPI 1013784552

John Matthew Livengood is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. John Matthew Livengood practices in Portland, OR. The NPI Number for John Matthew Livengood is 1013784552 and holds a License No. (Oregon).

The current practice location address for John Matthew Livengood is 11 Ne Mlk Blvd Ste 203, Portland, OR and can be reached out via phone at 971-350-1122.

Location: 11 Ne Mlk Blvd Ste 203, Portland, OR, 97213-4973
person
Provider Profile Details
NPI Number
1013784552
Provider Name
John Matthew Livengood
Credential
Provider Entity Type
Individual
Gender
Male
Address
11 Ne Mlk Blvd Ste 203, Portland, OR, 97213-4973
Phone Number
971-350-1122
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Ne Mlk Blvd Ste 203
City
State
Zip
97232-3579
Phone Number
971-350-1122
Fax Number
person
Provider Business Mailing Address Details
Address
11 Ne Mlk Blvd Ste 203
City
State
Zip
97232-3579
Phone Number
971-350-1122
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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