Provider Demographics
NPI:1407473986
Name:CHRISTIAN, VIRGINIA DELL (LPC)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:DELL
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15904 SE RUBY DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-3710
Mailing Address - Country:US
Mailing Address - Phone:503-914-9179
Mailing Address - Fax:
Practice Address - Street 1:2929 SW MULTNOMAH BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-4070
Practice Address - Country:US
Practice Address - Phone:503-914-9179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional