Individual
CHRISTOPHER ROBERT BOOTHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2245 SW TROY ST, PORTLAND, OR 97219-2657
(503) 482-9233
Mailing address
9450 SW GEMINI DR, PMB 92192, BEAVERTON, OR 97008-7105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6524
OR
Other
Enumeration date
01/31/2022
Last updated
01/23/2024
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