Individual
MR. DAVID ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-I
Contact information
Practice address
6619 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6656
(503) 545-7615
Mailing address
4110 SE HAWTHORNE BLVD # 241, PORTLAND, OR 97214-5246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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