Individual
MR. CHRISTOPHER THOMAS TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
712 SE HAWTHORNE BLVD STE 100, PORTLAND, OR 97214-3538
(503) 341-5104
Mailing address
712 SE HAWTHORNE BLVD STE 100, PORTLAND, OR 97214-3538
(503) 341-5104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2436
OR
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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