Individual
CASSIE FOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHRISTIE DR, LAKE OSWEGO, OR 97034-9703
(503) 635-3416
Mailing address
PO BOX 368, MARYLHURST, OR 97036-0368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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