Provider Demographics
NPI:1750516845
Name:MCEWING, ALISON M (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:M
Last Name:MCEWING
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 1:2800 N VANCOUVER AVE STE 165
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1644
Mailing Address - Country:US
Mailing Address - Phone:503-413-2902
Mailing Address - Fax:503-413-5220
Practice Address - Street 1:2800 N VANCOUVER AVE STE 165
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1644
Practice Address - Country:US
Practice Address - Phone:503-413-2902
Practice Address - Fax:503-413-5220
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health