Individual
MRS. GRACIA GERALDINE C KUPHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7320 SW HUNZIKER RD STE 201, TIGARD, OR 97223-2301
(971) 456-4354
Mailing address
1037 NE 65TH ST # 82684, SEATTLE, WA 98115-6655
(971) 456-4354
(503) 741-8117
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
80865
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/11/2011
Last updated
09/24/2024
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