Individual
COLLEEN BURKE-SIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
1744 NE 42ND AVE STE A, PORTLAND, OR 97213-1537
(503) 250-3123
(503) 287-7024
Mailing address
1744 NE 42ND AVE STE A, PORTLAND, OR 97213-1537
(503) 250-3123
(503) 287-7024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3224
OR
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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