person
Eric Lane Eubank
Mental Health Counselor in Portland, Oregon
NPI 1922317296

Eric Lane Eubank is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Eric Lane Eubank practices in Portland, OR. The NPI Number for Eric Lane Eubank is 1922317296 and holds a License No. (Oregon).

The current practice location address for Eric Lane Eubank is 3205 Se 13Th Ave, Portland, OR and can be reached out via phone at 503-258-4636 and via fax at 503-254-6234.

Location: 3205 Se 13Th Ave, Portland, OR, 97202-2461
person
Provider Profile Details
NPI Number
1922317296
Provider Name
Eric Lane Eubank
Credential
Provider Entity Type
Individual
Gender
Male
Address
3205 Se 13Th Ave, Portland, OR, 97202-2461
Phone Number
503-258-4636
Fax Number
503-254-6234
Provider Enumeration Date
10/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3205 Se 13Th Ave
City
State
Zip
97202-2461
Phone Number
503-258-4636
Fax Number
503-254-6234
person
Provider Business Mailing Address Details
Address
3205 Se 13Th Ave
City
State
Zip
97202-2461
Phone Number
503-258-4636
Fax Number
503-254-6234
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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