Individual
SOMMER FAWN MOUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PSYCHOLOGY
Contact information
Practice address
9005 SE HARRISON ST, PORTLAND, OR 97216-1940
(541) 708-1226
Mailing address
9005 SE HARRISON ST, PORTLAND, OR 97216-1940
(541) 708-1226
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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