Individual
ANGELA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SW 6TH AVE., GRESHAM, OR 97080
(150) 372-6369
Mailing address
10313 SW 69TH AVE., TIGARD, OR 97223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
10/03/2016
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