Individual
CASEY CHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7427 SW COHO CT STE 200, TUALATIN, OR 97062-8618
(503) 272-1887
Mailing address
125 S 1ST AVE, PO BOX 4041, HILLSBORO, OR 97123
(503) 272-1887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC61180264
WA
101YM0800X
Mental Health Counselor
Primary
R6908
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC61180264
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
R6908
OREGON BOARD OF LICENSED COUNSELORS & THERAPISTS
OR
Enumeration date
10/20/2022
Last updated
11/07/2022
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