PORTLAND LIFESTYLE COUNSELING, LLC

NPI # 

Practice Address:

4605 Ne Fremont St , #210C

Portland, OR, 97213-1707

Practice Phone:

503-309-1163

Practice Fax:

503-331-1591

License Number:

L4763

License State:

OR

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Specialization:

Clinical

Taxonomy Code:

1041C0700X