Individual
CHRISTINA LYNN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,ATR, LPC
Contact information
Practice address
1125 SE DIVISION ST STE 207, PORTLAND, OR 97202-2567
(503) 502-8593
(503) 479-4399
Mailing address
5105 SE STEELE ST, PORTLAND, OR 97206-5649
(503) 502-8593
(503) 479-4399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C2376
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-11-70
OR
101YM0800X
Mental Health Counselor
Primary
C2376
OR
Other
Enumeration date
07/25/2008
Last updated
05/19/2023
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