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Mark Rautiola
Mental Health Counselor in Tigard, Oregon
NPI 1699431627

Mark Rautiola is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Mark Rautiola practices in Tigard, OR. The NPI Number for Mark Rautiola is 1699431627 and holds a License No. C6330 (Oregon).

The current practice location address for Mark Rautiola is 6975 Sw Sandburg St Ste 200, Tigard, OR and can be reached out via phone at 978-473-9663.

Location: 6975 Sw Sandburg St Ste 200, Tigard, OR, 97504-7921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699431627
Provider Name
Mark Rautiola
Credential
Provider Entity Type
Individual
Gender
Male
Address
6975 Sw Sandburg St Ste 200, Tigard, OR, 97504-7921
Phone Number
978-473-9663
Fax Number
Provider Enumeration Date
11/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6975 Sw Sandburg St Ste 200
City
Tigard
State
Oregon
Zip
97223-8089
Phone Number
978-473-9663
Fax Number
person
Provider Business Mailing Address Details
Address
6975 Sw Sandburg St Ste 200
City
Tigard
State
Oregon
Zip
97223-8089
Phone Number
978-473-9663
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C6330 (Oregon)
Definition
Definition to come...
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