person
Magpie Clementine Mack
Mental Health Counselor in Portland, Oregon
NPI 1982467585

Magpie Clementine Mack is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Magpie Clementine Mack practices in Portland, OR. The NPI Number for Magpie Clementine Mack is 1982467585 and holds a License No. (Oregon).

The current practice location address for Magpie Clementine Mack is 12505 Se Raymond St, Portland, OR and can be reached out via phone at 503-760-8300 and via fax at 503-760-8308.

Location: 12505 Se Raymond St, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1982467585
Provider Name
Magpie Clementine Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
12505 Se Raymond St, Portland, OR, 97504-4004
Phone Number
503-760-8300
Fax Number
503-760-8308
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12505 Se Raymond St
City
State
Zip
97236-3931
Phone Number
503-760-8300
Fax Number
503-760-8308
person
Provider Business Mailing Address Details
Address
12505 Se Raymond St
City
State
Zip
97236-3931
Phone Number
503-760-8300
Fax Number
503-760-8308
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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