MIRANDA BAYARD-CLARK

LAKE OSWEGO, OR
NPI1295164309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  60599847)
Enumeration Date2013-11-08
Last Update Date2016-01-15
Business Address
-- MIRANDA BAYARD-CLARK M.A., LPC intern,
15110 BOONES FERRY RD STE 150
LAKE OSWEGO, OR 97035-3486
Phone number: 503-395-7592
Mailing Address
-- MIRANDA BAYARD-CLARK M.A., LPC intern,
15110 BOONES FERRY RD STE 150
LAKE OSWEGO, OR 97035-3486
Phone number: