Individual
CLAIRE ASHLEY WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
M.S.
Contact information
Practice address
1020 SW TAYLOR ST, PORTLAND, OR 97205-2543
(503) 558-6286
Mailing address
8640 SE CAUSEY AVE APT W206, HAPPY VALLEY, OR 97086-0613
(254) 715-0520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9957
OR
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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