Individual
CHRISTINA NANNETTE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1411 SW MORRISTON STREET, 310, PORTLAND, OR 97205
(503) 352-2400
Mailing address
527 SW 201ST AVE, 204, BEAVERTON, OR 97006-1203
(619) 453-8109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
12/01/2015
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