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Individual

DONNA M TURQUOISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHP-C

Contact information

Practice address
1310 SW 17TH AVE, PORTLAND, OR 97201-2522
(503) 231-2641
(503) 467-4077
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19-QMHPC-00812
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500641469
OR
Enumeration date
07/07/2011
Last updated
10/22/2020
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