Individual
CONNIE HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 SE 104TH DR, PORTLAND, OR 97216-3030
(503) 257-3115
Mailing address
2215 SE 104TH DR, PORTLAND, OR 97216-3030
(503) 257-3115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 00004625
WA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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