Individual
ANNA CULLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 SE MORRISON STREET, SUITE 233, PORTLAND, OR 97214
(503) 568-1499
Mailing address
819 SE MORRISON STREET, SUITE 233, PORTLAND, OR 97214
(503) 568-1499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R3455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339910
NCC CERTIFICATION NUMBER
OR
01
—
R3455
OBLPCT REGISTRATION NUMBER
OR
Enumeration date
07/14/2015
Last updated
07/14/2015
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