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Organization
BLACK THERAPY PORTLAND, LLC
Active
Organization
BLACK THERAPY PORTLAND, LLC
Active
Parent organization
MISAO ELIAHIM
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISAO ELIAHIM
Authorized official
MISAO ELIAHIM LMFT (OWNER/MH THERAPIST)
(415) 966-8067
Entity
Organization
Contact information
Practice address
8420 N IVANHOE ST # 83811, PORTLAND, OR 97203-4826
(415) 966-8067
(503) 689-8481
Mailing address
8420 N IVANHOE ST # 83811, PORTLAND, OR 97203-4826
(415) 966-8067
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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