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Organization
KARI GJERDE LLC
Active
Organization
KARI GJERDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI GJERDE LPC (MENTAL HEALTH CLINICIAN)
(503) 388-8649
Entity
Organization
Contact information
Practice address
2225 NE MLK JR BLVD, #207, PORTLAND, OR 97212-3727
(503) 388-8649
Mailing address
2225 NE MLK JR BLVD # 208, PORTLAND, OR 97212-3727
(503) 388-8649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4163
OR
Other
Enumeration date
07/24/2016
Last updated
12/13/2018
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