CARA A KOCH

PORTLAND, OR
NPI1609416155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  19-QMHP-R-0044)
Enumeration Date2020-01-13
Last Update Date2020-01-13
Business Address
CARA A KOCH QMHP-R
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
Mailing Address
CARA A KOCH QMHP-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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