Individual
DR. MICHAEL J. AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2652 NW ELM AVE, REDMOND, OR 97756-5526
(541) 499-9703
Mailing address
2652 NW ELM AVE, REDMOND, OR 97756-5526
(541) 499-9703
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T1283
OR
Other
Enumeration date
05/23/2007
Last updated
01/25/2020
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