Individual
MEGAN E GEROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
13317 SE POWELL BLVD, PORTLAND, OR 97236-3335
(503) 769-9606
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
21-QMHA-R-1204
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-QMHA-R-1204
MHACBO
OR
Enumeration date
06/11/2021
Last updated
06/11/2021
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