Individual
MR. NATHAN LEE FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4179
(541) 574-6252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
C3541
OR
101YP2500X
Professional Counselor
Primary
C3541
OR
Other
Enumeration date
01/23/2012
Last updated
02/26/2026
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