Individual
CHERA SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
4800 MEADOWS RD STE 300, LAKE OSWEGO, OR 97035-5277
(971) 201-1720
Mailing address
4800 MEADOWS RD STE 300, LAKE OSWEGO, OR 97035-5277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R6751
OR
Other
Enumeration date
06/25/2019
Last updated
05/03/2023
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