Most Relevant Information
Provider Data
| NPI Number: | 1003594268 |
| Provider Name: | ANTONIO ZITTING MS, QMHP-R |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 24-QMHP-R-2914 |
Most Important Dates
| Enumeration Date: | 07/07/2023 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
9755 SW BARNES RD
PORTLAND
OR
972256651
Practice Location Phone/Fax
| Phone: | 9712132665 |
| Fax: |
Provider Mailing Location
1215 SW G ST
GRANTS PASS
OR
975262544
Provider Mailing Phone/Fax
| Phone: | 5414762373 |
| Fax: |