Individual
WILLOW GRACE ECKMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
QMHP-R, MSW
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25-QMHP-R-3658
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2024
Last updated
07/10/2025
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