Individual
CLEA PARTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1944 N BRYANT ST, PORTLAND, OR 97217-5604
(360) 402-0435
Mailing address
1944 N BRYANT ST, PORTLAND, OR 97217-5604
(360) 402-0435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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