Individual
MR. ALLEN LYNN HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QMHP
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5742
OR
Other
Enumeration date
03/19/2009
Last updated
10/11/2024
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