Individual
RANDA GAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
1832 NE BROADWAY ST., PORTLAND, OR 97232
(503) 347-4863
Mailing address
1832 NE BROADWAY ST., PORTLAND, OR 97232
(503) 347-4863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R1437 (PC)
OR
106H00000X
Marriage & Family Therapist
Primary
R1437 (PC)
OR
Other
Enumeration date
07/04/2009
Last updated
01/24/2020
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