| Mike Siegel Lpc Llc | |
|
7409 Sw Capitol Hwy Suite 209 Portland OR 97219-2432 | |
| (503) 381-6453 | |
| Not Available |
| Full Name | Mike Siegel Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7409 Sw Capitol Hwy, Portland, Oregon |
| Authorized Official Name and Position | Michael P Siegel (SOLE MEMBER) |
| Authorized Official Contact | 5033816453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Siegel Lpc Llc Po Box 80273 Portland OR 97280-1273 Ph: (503) 381-6453 | Mike Siegel Lpc Llc 7409 Sw Capitol Hwy Suite 209 Portland OR 97219-2432 Ph: (503) 381-6453 |
| NPI Number | 1619274099 |
|---|---|
| Provider Enumeration Date | 02/19/2011 |
| Last Update Date | 02/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619274099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C2452 (Oregon) | Primary |
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