Organization
COUNSELING 360, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HACOPIAN PSY.D. (CLINICAL PSYCHOLOGIST)
(503) 928-6624
Entity
Organization
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY, SUITE 450, BEAVERTON, OR 97005-3019
(503) 928-6624
(866) 803-2248
Mailing address
14588 SW SHOUE DR, TIGARD, OR 97224-0913
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2430
OR
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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