Individual
MS. PAMELA VERA CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 239-8737
Mailing address
1334 SE 53RD AVE, PORTLAND, OR 97215-2649
(503) 238-1839
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0066
OR
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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