Individual
ENID E NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
11501 SW PACIFIC HWY, SUITE 100-5, TIGARD, OR 97223-8649
(503) 706-4320
Mailing address
11501 SW PACIFIC HWY, SUITE 100-5, TIGARD, OR 97223-8649
(503) 706-4320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2693
OR
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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