DERRICK RADFORD

PORTLAND, OR
NPI1770274482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R9219)
Enumeration Date2023-05-15
Last Update Date2024-12-07
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
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