Individual
MRS. ANNIE DOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2791 SW MONTGOMERY DR, PORTLAND, OR 97201-1632
(503) 201-5829
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5822
OR
Other
Enumeration date
12/30/2013
Last updated
06/25/2015
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