Organization
BETH BOGDON LPC LLC
Active
Organization
BETH BOGDON LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH M BOGDON LPC (MENTAL HEALTH COUNSELOR)
(971) 284-7313
Entity
Organization
Contact information
Practice address
2225 NE MLK JR BLVD, STE 207, PORTLAND, OR 97212-3727
(971) 284-7313
Mailing address
3406 N WILLIS BLVD, PORTLAND, OR 97217-7264
(971) 284-7313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C4160
OR
Other
Enumeration date
07/24/2016
Last updated
07/24/2016
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