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Individual

PAESHA KJERSTIN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, QMHP

Contact information

Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229
(503) 645-3581
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OR
101YM0800X
Mental Health Counselor
251S00000X
TN

Other

Enumeration date
03/15/2018
Last updated
05/30/2018
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