Individual
ALLE NICHOLE BETTALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 NE FAILING ST, PORTLAND, OR 97212-1157
(503) 512-9846
Mailing address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7794
OR
Other
Enumeration date
12/18/2017
Last updated
11/26/2024
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