MICHAEL PARK

PORTLAND, OR
NPI1912353061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  177619025)
Enumeration Date2016-05-09
Last Update Date2016-09-08
Business Address
-- MICHAEL PARK
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205-1945
Phone number: 503-352-2400
Mailing Address
-- MICHAEL PARK
2325 N ROSA PARKS WAY
PORTLAND, OR 97217-4945
Phone number: 847-858-1397
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