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Individual

MICHAEL RUNNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, NCC, LPC INTERN

Contact information

Practice address
6124 SE MILWAUKIE AVE STE 204, PORTLAND, OR 97202-5347
(503) 683-8464
Mailing address
3439 SE HAWTHORNE BLVD # 315, PORTLAND, OR 97214-5048
(503) 442-3563

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6338
OR

Other

Enumeration date
05/24/2021
Last updated
05/24/2021
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