Individual
CAROLYN ELIZABETH STURROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 NE 18TH AVE, PORTLAND, OR 97212-3356
(503) 313-4616
Mailing address
2000 NE 42ND AVE # 1154, PORTLAND, OR 97213-1399
(503) 313-4616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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