Individual
MARY CHRISTINE AFFOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,QMHP
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 489-2306
(503) 661-4959
Mailing address
627 SE 68TH AVE, PORTLAND, OR 97215-2103
(503) 252-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C1038
OR
Other
Enumeration date
07/28/2006
Last updated
09/11/2025
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