Individual
AUDRIENNE MANANSALA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 SW 4TH AVE STE 300, PORTLAND, OR 97204-2320
(503) 567-8605
Mailing address
4115 SE 14TH AVE, PORTLAND, OR 97202-3921
(907) 744-4046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8100
OR
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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