Individual
TIMOTHY PAVLATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
6902 SE LAKE RD, SUITE 202, MILWAUKIE, OR 97267-2148
(503) 652-2810
(503) 652-8553
Mailing address
6902 SE LAKE RD, SUITE 202, MILWAUKIE, OR 97267-2148
(503) 652-2810
(503) 652-8553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
T0907
OR
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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