Individual
MICHAEL STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MS
Contact information
Practice address
1829 NE ALBERTA ST, SUITE 9, PORTLAND, OR 97211-5879
(503) 780-5782
Mailing address
1829 NE ALBERTA ST, SUITE 9, PORTLAND, OR 97211-5879
(503) 780-5782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2648
OR
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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