Individual
RIP MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
979 PYRAMID WAY STE 115, SPARKS, NV 89431-3172
(775) 657-8309
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 924-2214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/21/2020
Last updated
07/08/2025
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