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Sovann Dara Pen (L.P.C.)

Mr. Sovann Dara Pen (L.P.C.) is a health care provider specializes in Counselor.

profile-icon Basic Information

Practice Location 12 Se 14th Ave, #104, Portland, OR 97214-1404, US
Practice Location Phone571-207-4718
Practice Location Fax
GenderMale
Specialty InCounselor
NPI ?1598038127
Entity TypeIndividual
Enumeration Date ? Feb 13, 2012
Last Update Date ? Feb 13, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Sovann Dara Pen

SpecialtySpecializationLicenseLicense State
CounselorProfessional C2800Oregon