Eden Virgina Park, QMHA

NPI #1316303357 in Wilsonville, Oregon

Provider Information

NPI Number
1316303357
Entity Type
Individual
Name
Eden Virgina Park, QMHA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
QMHA
Enumeration Date
Jan 6, 2016
Last Updated
Jun 12, 2019

Practice Location

Address
29120 SW SAN REMO CT
State
Oregon
ZIP Code
97070-7373
Phone
(503) 682-1840

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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