1023155207 Staley Wood Mims Iii, QMHP MED
Mental Health Counselor
Active
Basic Information
- Full Name
- Staley Wood Mims Iii, QMHP MED
- Gender
- Male
- Enumeration Date
- January 30, 2007
- Last Update
- July 8, 2007
Practice Location
- Address
- 2330 NE SISKIYOU ST
PORTLAND, OR 972122471 - Phone
- (503) 528-0757
- Fax
- (503) 528-0764
Mailing Address
- Address
- 3602 SE 28TH PL APT 15
PORTLAND, OR 972023070 - Phone
- (503) 771-0968
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Adult Companion | 372600000X | Adult Companion | N/A | N/A | No |
Frequently Asked Questions
What is Staley Wood Mims Iii, QMHP MED's NPI number?
Staley Wood Mims Iii, QMHP MED's NPI number is 1023155207.
Which doctor has NPI number 1023155207?
The doctor with NPI number 1023155207 is Staley Wood Mims Iii, QMHP MED.
What is Staley Wood Mims Iii, QMHP MED's practice address?
Staley Wood Mims Iii, QMHP MED's practice address is 2330 NE SISKIYOU ST, PORTLAND, OR, 972122471.
Which doctor practices at 2330 NE SISKIYOU ST, PORTLAND, OR, 972122471?
Staley Wood Mims Iii, QMHP MED practices at 2330 NE SISKIYOU ST, PORTLAND, OR, 972122471.
What is Staley Wood Mims Iii, QMHP MED's mailing address?
Staley Wood Mims Iii, QMHP MED's mailing address is 3602 SE 28TH PL APT 15, PORTLAND, OR, 972023070.
What is Staley Wood Mims Iii, QMHP MED's phone number?
Staley Wood Mims Iii, QMHP MED's phone number is (503) 528-0757.
Who is (503) 528-0757?
(503) 528-0757 is the phone number for Staley Wood Mims Iii, QMHP MED.
What is Staley Wood Mims Iii, QMHP MED's specialty?
Staley Wood Mims Iii, QMHP MED's specialty is Mental Health Counselor.
What type of doctor is Staley Wood Mims Iii, QMHP MED?
Staley Wood Mims Iii, QMHP MED is a Mental Health Counselor.
Is Staley Wood Mims Iii, QMHP MED a Mental Health?
Yes, Staley Wood Mims Iii, QMHP MED is a Mental Health.
Is Staley Wood Mims Iii, QMHP MED still practicing?
Yes, Staley Wood Mims Iii, QMHP MED is currently practicing.
Is Staley Wood Mims Iii, QMHP MED accepting new patients?
Staley Wood Mims Iii, QMHP MED may be accepting new patients. Please call their office at (503) 528-0757 to inquire about availability.
Is NPI 1023155207 still active?
Yes, NPI 1023155207 is currently active.
Where does Staley Wood Mims Iii, QMHP MED practice?
Staley Wood Mims Iii, QMHP MED practices in PORTLAND, OR.
Is Staley Wood Mims Iii, QMHP MED a male or female doctor?
Staley Wood Mims Iii, QMHP MED is a male doctor.