NPI 1730921297

Traci Goodrich, REGISTEREDASSOCIATE

Practitioner Marriage & Family Therapist Gladstone, OR

Practice location

Address: Lifestance Health 880 82nd Drive, Gladstone, OR 97027
Phone: (503) 659-5515
Mailing address: 15315 SE Lee Ave, Milwaukie, OR 97267-2639

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence R9311 (OR)

Other Marriage & Family Therapist providers in Oregon →

Registry record

NPI: 1730921297
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2024
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.