Individual
CHRISTOPHER MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC
Contact information
Practice address
2304 E BURNSIDE ST STE 3, PORTLAND, OR 97214-1677
(971) 270-0792
Mailing address
2304 E BURNSIDE ST STE 3, PORTLAND, OR 97214-1677
(971) 270-0792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R3962
OR
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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