Individual
ASHLEY MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 NE 155TH AVE, PORTLAND, OR 97230-4491
(503) 839-2185
Mailing address
3006 NE 155TH AVE, PORTLAND, OR 97230
(503) 875-3450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
6350904
OR
Other
Enumeration date
02/26/2009
Last updated
04/18/2013
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