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Individual

MIRIAM JOY HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9701 SW BARNES RD STE 200, PORTLAND, OR 97225-6689
(503) 734-3700
(503) 473-8462
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-6417
ID
101YP2500X
Professional Counselor
Primary
C6398
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500758486
OR
Enumeration date
01/23/2017
Last updated
06/07/2022
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