Individual
ASHLEY A COIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-R
Contact information
Practice address
1310 SW 17TH AVE, PORTLAND, OR 97201-2522
(503) 231-2641
(503) 467-4077
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22-QMHP-R-1533
OR
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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