Individual
DORI BEALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., C.A.D.C. I
Contact information
Practice address
9860 SW HALL BLVD, SUITE E 3, TIGARD, OR 97223-8896
(503) 473-4600
Mailing address
10229 NW SKYLINE HEIGHTS DR, PORTLAND, OR 97229-2642
(503) 473-4600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
990342
OR
101YM0800X
Mental Health Counselor
Primary
C2306
—
Other
Enumeration date
07/19/2013
Last updated
07/31/2013
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