Provider Demographics
NPI:1134706351
Name:BINDER, ANGELA K (QMHP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:BINDER
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10940 SW WILSONVILLE RD APT 39
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8517
Mailing Address - Country:US
Mailing Address - Phone:971-282-9441
Mailing Address - Fax:
Practice Address - Street 1:29197 SW ORLEANS AVE APT 111
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7389
Practice Address - Country:US
Practice Address - Phone:503-427-0182
Practice Address - Fax:503-427-0228
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor