Individual
MARY MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N EVEREST ST STE A, NEWBERG, OR 97132-2116
(503) 538-7647
Mailing address
3160 SW CHRISTY AVE, BEAVERTON, OR 97005-1546
(503) 680-3050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1077
OR
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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