Theo B Harper, M.A., L.P.C.
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1043327331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043327331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Theo B Harper
- Credential
- M.A., L.P.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C1199 | OR | Yes |
Other names
- Theophilus B Harper (Other Name)
Practice location
3550 N Interstate AvePortland, OR 97227-1196
Phone 503-285-9321 · Fax 503-249-5508
Mailing address
3550 N Interstate AvePortland, OR 97227-1196
Phone 503-292-3325 · Fax 503-249-5508
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