Individual
MARY J EVRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 NE 2ND ST, GRESHAM, OR 97030-7514
(971) 274-3757
(503) 912-5740
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4330
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144708
—
WA
05
—
500728251
—
OH
Enumeration date
10/14/2014
Last updated
06/01/2021
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