Individual
MARION MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-4965
Mailing address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-4965
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0656
OR
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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