Individual
COLETTE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1520 N ALBERTA ST, PORTLAND, OR 97217-3602
(503) 780-4169
Mailing address
1520 N ALBERTA ST, PORTLAND, OR 97217-3602
(503) 780-4169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5032
OR
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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