Individual
ALFREDA TINA NIMELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
4949 S LANDING DR UNIT 327, PORTLAND, OR 97239-5924
(401) 390-6629
Mailing address
4949 S LANDING DR UNIT 327, PORTLAND, OR 97239-5924
(401) 390-6629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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