Individual
CORINA ANNE DAUGHERTY CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232
(503) 238-0769
Mailing address
13210 SE DIVISION ST, APT 13, PORTLAND, OR 97236-3058
(509) 294-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
06/26/2018
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