Individual
DONNA MARIE ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 SE 16TH AVE, PORTLAND, OR 97214-1477
(503) 450-9919
Mailing address
15 SE 16TH AVE, PORTLAND, OR 97214-1477
(503) 450-9919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1916
OR
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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