Individual
MS. NICKI LYNN BEIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(503) 288-3750
Mailing address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(503) 288-3750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2105
OR
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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