Individual
PHYLLIS MARIE ENGELKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,NCC
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
6024 SE LAMBERT ST, PORTLAND, OR 97206-8158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1415
OR
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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