Individual
BETH ANN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, ATCS
Contact information
Practice address
4705 SE 60TH AVE, PORTLAND, OR 97206-4718
(503) 341-7280
Mailing address
4705 SE 60TH AVE, PORTLAND, OR 97206-4718
(503) 341-7280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ART-C-10205598
OR
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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