Healthcare Provider Details

I. General information

NPI: 1124975966
Provider Name (Legal Business Name): MARGO CHAMBERLAIN THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 3RD ST
HOOD RIVER OR
97031-2011
US

IV. Provider business mailing address

4305 BROWNS CREEK RD
THE DALLES OR
97058-8544
US

V. Phone/Fax

Practice location:
  • Phone: 541-261-1988
  • Fax:
Mailing address:
  • Phone: 541-261-1988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARGO ANNE CHAMBERLAIN
Title or Position: MENTAL HEALTH THERAPIST
Credential: LPC
Phone: 541-261-1988