Individual
CHRISTINA ODOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1550
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
(503) 535-1150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
IMF 66678
CA
Other
Enumeration date
05/17/2011
Last updated
03/17/2018
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