Individual
COLLEEN L STRUHAR LATENDRESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19424 SW LARKCREST LN, BEAVERTON, OR 97003-2995
(503) 927-2773
Mailing address
19424 SW LARKCREST LN, BEAVERTON, OR 97003-2995
(503) 927-2773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7102
OR
Other
Enumeration date
09/28/2020
Last updated
07/23/2024
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