DERRICK RADFORD

PORTLAND, OR
NPI1770274482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R9219)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: WA  61660503)
Enumeration Date2023-05-15
Last Update Date2025-04-08
Business Address
DERRICK RADFORD MA
5441 S MACADAM AVE STE A
PORTLAND, OR 97239-6106
Phone number: 971-290-4398
Mailing Address
DERRICK RADFORD MA
5441 S MACADAM AVE STE A
PORTLAND, OR 97239-6106
Phone number: 971-290-4398