MRS. Audra Diana Mahoney

NPI #1588204531 in Tualatin, Oregon

Provider Information

NPI Number
1588204531
Entity Type
Individual
Name
MRS. Audra Diana Mahoney
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 7, 2020
Last Updated
Jan 7, 2020

Practice Location

Address
19824 SW 72ND AVE STE 102
State
Oregon
ZIP Code
97062-8398
Phone
(503) 447-4323

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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