Individual
MS. ALLISON S MEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR, LMFT, LPC
Contact information
Practice address
5441 S MACADAM AVE STE 8144, PORTLAND, OR 97239-6106
(503) 479-5494
Mailing address
5441 S MACADAM AVE STE 8144, PORTLAND, OR 97239-6106
(503) 479-5494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
C9880
—
102L00000X
Psychoanalyst
C9880
—
106H00000X
Marriage & Family Therapist
Primary
T1934
OR
221700000X
Art Therapist
22-230
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802-023-411
CFARS
FL
Enumeration date
03/08/2011
Last updated
08/27/2025
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