MIKE SIEGEL, MS, MFT, NCC, LPC
Social Work at Center St, Beaverton, OR

License number
Oregon C2452
Category
Social Work
Type
Professional
Address
Address
12655 SW Center St SUITE 320, Beaverton, OR 97005
Phone
(503) 381-6453
(971) 228-8673 (Fax)
National Provider ID: 1003217076
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about MIKE SIEGEL at radaris.com
Name
Address
Phone
Mike Siegel, age 78
3216 57Th Ave, Portland, OR 97206
(503) 775-8875

Organization information

See more information about MIKE SIEGEL at bizstanding.com

MIKE SIEGEL, LPC, LLC

12655 SW Ctr St SUITE 320, Beaverton, OR 97005

Registration:
Feb 14, 2011
State ID:
74883894
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Michael Psiegel,1805 NW 173 Ave APT 1404, Beaverton, OR 97006 (Physical)

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