person
Lark Jeanene Roe, QMHP
Mental Health Counselor in Portland, Oregon
NPI 1912061862

Lark Jeanene Roe is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Lark Jeanene Roe practices in Portland, OR and has the professional credentials of QMHP. The NPI Number for Lark Jeanene Roe is 1912061862 and holds a License No. (Oregon).

The current practice location address for Lark Jeanene Roe is 13317 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-760-9606 and via fax at 503-760-9609.

Location: 13317 Se Powell Blvd, Portland, OR, 97286-0405
person
Provider Profile Details
NPI Number
1912061862
Provider Name
Lark Jeanene Roe
Credential
QMHP
Provider Entity Type
Individual
Gender
Female
Address
13317 Se Powell Blvd, Portland, OR, 97286-0405
Phone Number
503-760-9606
Fax Number
503-760-9609
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13317 Se Powell Blvd
City
State
Zip
97236-3335
Phone Number
503-760-9606
Fax Number
503-760-9609
person
Provider Business Mailing Address Details
Address
13317 Se Powell Blvd
City
State
Zip
97236-3335
Phone Number
503-760-9606
Fax Number
503-760-9609
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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