Individual
KERRY OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
916 SW KING AVE, SUITE 204, PORTLAND, OR 97205-1320
(503) 222-3618
Mailing address
916 SW KING AVE, SUITE 204, PORTLAND, OR 97205-1320
(503) 222-3618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C3249
OR
101YP2500X
Professional Counselor
Primary
C3249
OR
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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