Individual
BAILEY MEKELLE PAMPERIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 404-3637
(503) 974-0907
Mailing address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 404-3637
(503) 974-0907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
04/23/2024
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