Individual
MS. LORI KAY MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
131 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 253-6754
(503) 253-8020
Mailing address
2915 NE 56TH AVE, PORTLAND, OR 97213-3329
(503) 754-2464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/02/2006
Last updated
07/10/2008
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