Individual
BETHANY L UECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
(503) 239-8101
Mailing address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
(503) 239-8101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
12/31/2014
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