person
Eden Virgina Park, QMHA
Mental Health Counselor in Wilsonville, Oregon
NPI 1316303357

Eden Virgina Park is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Eden Virgina Park practices in Wilsonville, OR and has the professional credentials of QMHA. The NPI Number for Eden Virgina Park is 1316303357 and holds a License No. (Oregon).

The current practice location address for Eden Virgina Park is 29120 Sw San Remo Ct, Wilsonville, OR and can be reached out via phone at 503-682-1840 and via fax at 503-682-1873.

Location: 29120 Sw San Remo Ct, Wilsonville, OR, 97504-4004
person
Provider Profile Details
NPI Number
1316303357
Provider Name
Eden Virgina Park
Credential
QMHA
Provider Entity Type
Individual
Gender
Female
Address
29120 Sw San Remo Ct, Wilsonville, OR, 97504-4004
Phone Number
503-682-1840
Fax Number
503-682-1873
Provider Enumeration Date
01/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29120 Sw San Remo Ct
City
State
Zip
97070-7373
Phone Number
503-682-1840
Fax Number
503-682-1873
person
Provider Business Mailing Address Details
Address
29120 Sw San Remo Ct
City
State
Zip
97070-7373
Phone Number
503-682-1840
Fax Number
503-682-1873
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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