SearchOregon101YP2500X

Floyd Penna, LPC, CADC III, CSAT

NPI 1407000383 · on the registry since 2008 · sole proprietor

Practice

Address
12414 E Burnside St
Portland, OR 97233
Phone
(503) 997-8664
Fax
(503) 254-2196

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon