Individual
MR. DYLAN NEIL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7760
Mailing address
1215 NE 63RD AVE, PORTLAND, OR 97213-4903
(971) 237-3329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
05/16/2024
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