Individual
TRINITY TREAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., QMHP
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(971) 202-3848
(503) 239-8101
Mailing address
1600 EXECUTIVE PKWY STE 200, EUGENE, OR 97401-7113
(541) 515-2036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4987
OR
Other
Enumeration date
06/25/2015
Last updated
09/10/2025
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