Individual
MRS. CHIHARU TACHI MALONE IX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330
(541) 758-5900
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330
(541) 758-5900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4263
OR
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500665675
—
OR
Enumeration date
06/02/2007
Last updated
11/04/2016
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