Individual
LILY MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 NW OVERTON ST, PORTLAND, OR 97210-2927
(503) 241-6051
(503) 222-1357
Mailing address
20569 SW 84TH CT, TUALATIN, OR 97062-9379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
Primary
—
OR
Other
Enumeration date
02/02/2007
Last updated
06/09/2008
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