Individual
LOUISE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADCI
Contact information
Practice address
1616 SW SUNSET BLVD STE E, PORTLAND, OR 97239-2641
(503) 869-2762
Mailing address
1616 SW SUNSET BLVD STE E, PORTLAND, OR 97239-2641
(503) 869-2762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C1823
OR
101YM0800X
Mental Health Counselor
C1823
OR
101YP2500X
Professional Counselor
Primary
C1823
OR
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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