Individual
MICHAL IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
10175 SW BARBUR BLVD STE 300BC, PORTLAND, OR 97219-5909
(503) 936-7604
Mailing address
10175 SW BARBUR BLVD STE 300BC, PORTLAND, OR 97219-5909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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