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Individual

ALBERT PARRAMON-MORODO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, QMHP, CADC III

Contact information

Practice address
12672 SE STARK ST, PORTLAND, OR 97233-1058
(503) 367-7205
Mailing address
12672 SE STARK ST, PORTLAND, OR 97233-1058
(503) 367-7205

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07-06-41
OR
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
C4030
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720004195
OR
Enumeration date
07/15/2006
Last updated
07/21/2022
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