Individual
MS. ANNIKA MOSSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 NE SANDY BLVD STE 200, PORTLAND, OR 97212-5331
(971) 940-2601
Mailing address
6225 SE 22ND AVE, PORTLAND, OR 97202-5443
(858) 248-0662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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