Individual
HEATHER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5520 SW MACADAM AVE, SUITE 270, PORTLAND, OR 97239
(971) 263-6169
Mailing address
7712 SE 19TH AVE, PORTLAND, OR 97202
(971) 263-6169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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