Individual
DIANE ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMHC
Contact information
Practice address
1110 SE ALDER ST, PORTLAND, OR 97214-2400
(786) 213-2727
Mailing address
7505 SE 152ND AVE, PORTLAND, OR 97236-4862
(503) 270-9989
(503) 715-5751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500761603
—
OR
Enumeration date
06/28/2015
Last updated
10/30/2019
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