Individual
CHUNG-FAN NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
182 S. W. ACADEMY ST., ACADEMY BUILDING, DALLAS, OR 97338
(503) 623-2424
Mailing address
345 MONMOUTH AVE N, MONMOUTH, OR 97361-1329
(503) 838-8038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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