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Organization

FIFTH AVENUE COUNSELING & CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER BARBUR LPC (PRINCIPAL)
(503) 295-7974
Entity
Organization

Contact information

Practice address
1312 SW 16TH AVE, #103, PORTLAND, OR 97201-2516
(503) 295-7974
(503) 295-3727
Mailing address
1312 SW 16TH AVE, #103, PORTLAND, OR 97201-2516
(503) 295-7974
(503) 295-3727

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0630
OR
101YP2500X
Professional Counselor
C1784
OR
101YP2500X
Professional Counselor
C2116
OR

Other

Enumeration date
02/05/2008
Last updated
02/06/2008
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