Individual
RYAN C HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
700 NE MULTNOMAH ST STE 275, PORTLAND, OR 97232-4103
(503) 729-1380
(503) 841-6343
Mailing address
700 NE MULTNOMAH ST STE 275, PORTLAND, OR 97232-4103
(503) 729-1380
(503) 841-6343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2903
OR
Other
Enumeration date
10/20/2009
Last updated
12/11/2020
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