Individual
DR. TEAL BOHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, CADC III
Contact information
Practice address
1381 BONNIEBRAE DR, LAKE OSWEGO, OR 97034-1627
(503) 750-8325
Mailing address
1381 BONNIEBRAE DR, LAKE OSWEGO, OR 97034-1627
(503) 750-8325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
C3707
OR
Other
Enumeration date
12/28/2009
Last updated
12/27/2022
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