Individual
MS. BARBARA ALISON PANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
1507 NE 122ND AVE, PORTLAND, OR 97230-1911
(971) 917-6969
Mailing address
1507 NE 122ND AVE, PORTLAND, OR 97230-1911
(415) 939-1243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19-QMHPC-08110
OR
Other
Enumeration date
05/10/2010
Last updated
04/04/2024
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