Individual
ADAM HARTLAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10638 NE GLISAN ST, PORTLAND, OR 97220-4045
(503) 254-6804
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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