Individual
TERESA A NAIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 253-4600
(503) 253-4609
Mailing address
PO BOX 82819, PORTLAND, OR 97282
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC1688
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/13/2006
Last updated
12/21/2021
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