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Organization
PINE MOUNTAIN COUNSELING
Active
Organization
PINE MOUNTAIN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CERINA GRIFFIN MS, MFT (OWNER)
(503) 455-4305
Entity
Organization
Contact information
Practice address
7805 SW 40TH AVE UNIT 19932, PORTLAND, OR 97219-1643
(503) 455-4305
Mailing address
PO BOX 19932, PORTLAND, OR 97280-0932
(503) 455-4305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700281730
NPI AS SOLE PROPRIETOR
CA
Enumeration date
04/24/2020
Last updated
04/24/2020
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