Individual
MS. MAILE LOUISE GRUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1925 SE 47TH AVE, PORTLAND, OR 97215-3209
(503) 218-3709
(503) 710-9072
Mailing address
1925 SE 47TH AVE, PORTLAND, OR 97215-3209
(503) 218-3709
(503) 710-9072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0361
OR
Other
Enumeration date
12/31/2006
Last updated
04/24/2020
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