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Mrs. Audra Diana Mahoney
Professional Counselor in Tualatin, Oregon
NPI 1588204531

Audra Diana Mahoney is a Professional Counselor based in Tualatin, OR and is specialized in Professional. Audra Diana Mahoney practices in Tualatin, OR. The NPI Number for Audra Diana Mahoney is 1588204531 and holds a License No. (Oregon).

The current practice location address for Audra Diana Mahoney is 19824 Sw 72Nd Ave Ste 102, Tualatin, OR and can be reached out via phone at 503-447-4323.

Location: 19824 Sw 72Nd Ave Ste 102, Tualatin, OR, 97062-8398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588204531
Provider Name
Audra Diana Mahoney
Credential
Provider Entity Type
Individual
Gender
Female
Address
19824 Sw 72Nd Ave Ste 102, Tualatin, OR, 97062-8398
Phone Number
503-447-4323
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19824 Sw 72Nd Ave Ste 102
City
Tualatin
State
Oregon
Zip
97062-8398
Phone Number
503-447-4323
Fax Number
person
Provider Business Mailing Address Details
Address
19824 Sw 72Nd Ave Ste 102
City
Tualatin
State
Oregon
Zip
97062-8398
Phone Number
503-447-4323
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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