Individual
ALICIA RENEE TURVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1915
(503) 284-4249
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
201403742RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201403742RN
OR
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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