Individual
CHRISTA LYNN CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5846 NE 28TH AVE, PORTLAND, OR 97211-6169
(971) 563-5739
Mailing address
5846 NE 28TH AVE, PORTLAND, OR 97211-6169
(971) 563-5739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R5295
OR
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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