Search › Oregon › 171100000X
Myra Theriault, LAC
NPI 1861864076 · on the registry since 2015
Practice
- Address
- 4424 Ne Glisan St
Portland, OR 97213 - Phone
- (503) 477-5167
- Organisation at this address
- The Ren Clinic
Grove Mental Health Llc
True Nature Wellness, Llc
Hawkins Counselng Services
Phoenix Rising Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 4783 Us 101, Lincoln City, OR
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-07
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