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Organization
PORTLAND FAMILY COUNSELING
Active
Organization
PORTLAND FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YSHAI BOUSSI L.P.C. (PSYCHOTHERAPIST)
(503) 260-3315
Entity
Organization
Contact information
Practice address
2661 NW THURMAN ST, PORTLAND, OR 97210-2202
(503) 289-1584
Mailing address
903 NE ROSA PARKS WAY, PORTLAND, OR 97211-3657
(503) 260-3315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2363
OR
1041C0700X
Clinical Social Worker
L4169
OR
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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