Individual
MR. THEODORE DANIEL SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266
(503) 258-4300
Mailing address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5018
OR
Other
Enumeration date
09/15/2013
Last updated
09/18/2018
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