Provider Demographics
NPI:1750691697
Name:SELF AWARENESS COUNSELING
Entity type:Organization
Organization Name:SELF AWARENESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ REG. INTERN #R1426
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORANDON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC
Authorized Official - Phone:503-729-9662
Mailing Address - Street 1:7409 SW CAPITOL HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-2432
Mailing Address - Country:US
Mailing Address - Phone:503-729-9662
Mailing Address - Fax:
Practice Address - Street 1:7409 SW CAPITOL HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-2432
Practice Address - Country:US
Practice Address - Phone:503-729-9662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR#R1426251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health