Most Relevant Information
Provider Data
| NPI Number: | 1003398736 |
| Provider Name: | ALLISON POPPY PICARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2018 |
| Last Updated: | 08/29/2018 |
Provider Practice Location
4035 NE SANDY BLVD STE 200
PORTLAND
OR
972125331
Practice Location Phone/Fax
| Phone: | 9719402601 |
| Fax: |
Provider Mailing Location
4035 NE SANDY BLVD STE 200
PORTLAND
OR
972125331
Provider Mailing Phone/Fax
| Phone: | 9719402601 |
| Fax: |