Individual
CYNTHIA CALVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, L.P.C.
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 282-0104
Mailing address
715 NE ROYAL CT, PORTLAND, OR 97232-2670
(503) 282-0104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C 0090
OR
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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