Individual
NOREEN VALDEZ GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19250 SW 65TH AVE STE 300, TUALATIN, OR 97062-7707
(503) 692-1242
(503) 691-3615
Mailing address
7650 SW BEVELAND RD, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
101YP2500X
Professional Counselor
Primary
C4290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692102
—
OR
Enumeration date
02/27/2008
Last updated
05/10/2018
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