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Ashley Koulax

Counselor, Mental Health in Tigard, OR. Individual provider (NPI-1).

NPI number1407326432
StatusActive
Last updated in NPPESDec 3, 2018

Details

NPI
1407326432
Entity type
Individual (NPI-1)
Name
Ashley Koulax
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 3, 2018
Last updated
Dec 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3690

Mailing address

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3690

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