Individual
TWO FOXES SINGING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, QMHP
Contact information
Practice address
22843 E. SANDY AVENUE, RHODODENDRON, OR 97049
(503) 622-3548
(503) 622-3548
Mailing address
22843 E. SANDY AVENUE, RHODODENDRON, OR 97049
(503) 622-3548
(503) 622-3548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
Primary
449702
OR
Other
Enumeration date
03/16/2007
Last updated
01/28/2009
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