person
Skylar Owen Windham
Mental Health Counselor in Portland, Oregon
NPI 1023698032

Skylar Owen Windham is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Skylar Owen Windham practices in Portland, OR. The NPI Number for Skylar Owen Windham is 1023698032 and holds a License No. R7861 (Oregon).

The current practice location address for Skylar Owen Windham is 2929 Se Stark St Apt 207, Portland, OR and can be reached out via phone at 503-309-9793.

Location: 2929 Se Stark St Apt 207, Portland, OR, 97214-4576
person
Provider Profile Details
NPI Number
1023698032
Provider Name
Skylar Owen Windham
Credential
Provider Entity Type
Individual
Gender
Male
Address
2929 Se Stark St Apt 207, Portland, OR, 97214-4576
Phone Number
503-309-9793
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500791534 05 OR
institution
Provider Business Practice Location Address Details
Address
2929 Se Stark St Apt 207
City
State
Zip
97214-4576
Phone Number
503-309-9793
Fax Number
person
Provider Business Mailing Address Details
Address
2929 Se Stark St Apt 207
City
State
Zip
97214-4576
Phone Number
503-309-9793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R7861 (Oregon)
Definition
Definition to come...
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