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MT
Mike Theodore, Qmha
Licensed Counselor
17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR 97006
Public record information
- NPI Number
- 1316644735
- Specialty Type
- Licensed Counselor
Contact Information
- Practice Address
- 17933 Nw Evergreen Pkwy Ste 111
Beaverton, OR 97006 - Phone
- (814) 243-0414
Location
17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR, 97006
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Data sourced from the US National Provider Identifier (NPI) Registry — a public government database. NPI: 1316644735 · Verify on NPI Registry