Individual
MICHAEL GORDON MAKINSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8815 NE GLISAN ST, PORTLAND, OR 97220-5861
(971) 409-9252
Mailing address
7018 NE HASSALO ST, PORTLAND, OR 97213-5439
(503) 636-4176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1085
OR
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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