Individual
MS. HOPE MARIE PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC III, LCSW, QMHP
Contact information
Practice address
245 NW HARWOOD ST, PRINEVILLE, OR 97754-1445
(541) 209-0017
Mailing address
245 NW HARWOOD ST, PRINEVILLE, OR 97754-1445
(541) 209-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-03-20
OR
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10651
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283234
—
OR
05
—
500700804
—
OR
Enumeration date
09/09/2010
Last updated
01/21/2022
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