Individual
ANNALISA FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7412 SW BEAVERTON HILLSDALE HWY STE 106, PORTLAND, OR 97225-2167
(503) 530-8521
Mailing address
7412 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-2162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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