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Individual

MRS. THERESA JOY PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
3419 NE SANDY BLVD, PORTLAND, OR 97232-1959
(503) 282-6267
Mailing address
1915 NE CRAMER ST, PORTLAND, OR 97211-5464
(503) 282-6267

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1736
OR

Other

Enumeration date
02/02/2007
Last updated
04/22/2025
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