STRAIGHT FROM THE HEART

NPI # 

Practice Address:

5404 N Montana Ave

Portland, OR, 97217-4557

Practice Phone:

503-232-0969

Practice Fax:

503-234-2326

License Number:

ALICE RICHARD LIC# 1

License State:

OR

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Specialization:

Clinical

Taxonomy Code:

1041C0700X