Organization
MORGAN VANDERPOOL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN VANDERPOOL LICSW (OWNER)
(253) 697-0190
Entity
Organization
Contact information
Practice address
1034 SE SANDY BLVD, PORTLAND, OR 97214-1332
(253) 697-0190
Mailing address
2602 S 38TH ST, STE A, #16, TACOMA, WA 98409
(253) 697-0190
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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