Individual
MRS. OLIVIA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. MFT
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, SUITE 200, CLACKAMAS, OR 97015-6899
(503) 659-1694
Mailing address
9290 SE SUNNYBROOK BLVD, SUITE 200, CLACKAMAS, OR 97015-6899
(503) 659-1694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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