person
Isaac Rider, MS,LPC
Mental Health Counselor in Milwaukie, Oregon
NPI 1679181689

Isaac Rider is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Isaac Rider practices in Milwaukie, OR and has the professional credentials of MS,LPC. The NPI Number for Isaac Rider is 1679181689 and holds a License No. C7567 (Oregon).

The current practice location address for Isaac Rider is 4105 Se International Way Ste 505, Milwaukie, OR and can be reached out via phone at 503-258-4545.

Location: 4105 Se International Way Ste 505, Milwaukie, OR, 97220-2553
person
Provider Profile Details
NPI Number
1679181689
Provider Name
Isaac Rider
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
4105 Se International Way Ste 505, Milwaukie, OR, 97220-2553
Phone Number
503-258-4545
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
4105 Se International Way Ste 505
City
State
Zip
97222-8855
Phone Number
503-258-4545
Fax Number
person
Provider Business Mailing Address Details
Address
4105 Se International Way Ste 505
City
State
Zip
97222-8855
Phone Number
503-258-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C7567 (Oregon)
Definition
Definition to come...
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