Organization
LIFE ENCOUNTER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WAYNE HAWKINS MA (CLINICAL DIRECTOR)
(503) 706-6426
Entity
Organization
Contact information
Practice address
7175 SW BEVELAND RD, 110, TIGARD, OR 97223-8665
(503) 706-6426
(503) 536-6768
Mailing address
7175 SW BEVELAND RD, 110, TIGARD, OR 97223-8665
(503) 706-6426
(503) 536-6768
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C2114
OR
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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