Individual
SUMMER LAYNE CASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAMFT
Contact information
Practice address
14025 SW FARMINGTON RD, BEAVERTON, OR 97005-2512
(503) 258-4495
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OR
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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