Carmen Ryan, LPC, MS, MBA
Counselor, Professional in Wilsonville, OR. Individual provider (NPI-1).
NPI number1609656149
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1609656149
- Entity type
- Individual (NPI-1)
- Name
- Carmen Ryan
- Credential
- LPC, MS, MBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2023
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C10608 | OR | Yes |
Practice location
28925 Sw Boberg RdWilsonville, OR 97070-8218
Phone 503-939-9447
Mailing address
29385 Sw Teton WayWilsonville, OR 97070-8501
Phone 503-939-9447
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