Individual
ALEXIS KATHRYN MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SE WASHINGTON ST, HILLSBORO, OR 97123-4230
(503) 239-8400
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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