Deirdre Jane Rundle, LPC
Counselor in Portland, OR. Individual provider (NPI-1).
NPI number1982124335
StatusActive
Last updated in NPPESMay 8, 2022
Details
- NPI
- 1982124335
- Entity type
- Individual (NPI-1)
- Name
- Deirdre Jane Rundle
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2017
- Certification date
- May 8, 2022
- Last updated
- May 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C6461 | OR | Yes |
Practice location
3651 Se Francis St Apt 104Portland, OR 97202-3586
Phone 503-300-1941 · Fax 503-296-2959
Mailing address
3651 Se Francis St Apt 104Portland, OR 97202-3586
Phone 503-300-1941 · Fax 503-296-2959
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