Individual
RUTH DIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2832 NE 12TH AVE, PORTLAND, OR 97212-3218
(503) 866-9133
Mailing address
2832 NE 12TH AVE, PORTLAND, OR 97212-3218
(503) 866-9133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2880
OR
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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