Individual
CORY VAN ENGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
Mailing address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8709062
—
OR
Enumeration date
12/29/2022
Last updated
12/29/2022
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