MS. MARILYN C. GROVER LPC
NPI 1902093933
Counselor - Professional in Portland, OR
Active since October 03, 2007
About Ms. Marilyn C. Grover Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARILYN C. GROVER LPC (NPI 1902093933) is an individual professional provider in Portland, Oregon, licensed in Oregon (CO919) and active in the NPI registry since October 2007.
NPPES Registry Identity
NPI1902093933
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MARILYN C. GROVERCredential: LPC
Location Address3665 SE BYBEE BLVDPortland, OR 97202-7733
Mailing Address3665 Se Bybee BlvdPortland, OR 97202-7733 · (503) 777-9433
Phone(503) 777-9433
Sole ProprietorYes
Enumeration DateOctober 3, 2007
✔ NPI 1902093933 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · CO919
3665 SE BYBEE BLVD, Portland, OR 97202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902093933, enumerated as an "individual" on October 03, 2007.
The provider is located at 3665 SE BYBEE BLVD PORTLAND, OR 97202 and the phone number is (503) 777-9433.
Counselor with taxonomy code 101YP2500X and a focus in Professional.