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Individual

MARK ANDREW STOUFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCI

Contact information

Practice address
4262 N VANCOUVER AVE, #311, PORTLAND, OR 97217
(971) 339-1800
Mailing address
818 SW 3RD AVE # 221-1275, PORTLAND, OR 97204-2405
(971) 339-1800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3645
OR

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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