Individual
LISA ADAIR MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7180 SW FIR LOOP,, SUITE 1-A, PORTLAND, OR 97223-8023
(503) 214-2645
(503) 620-3453
Mailing address
7180 SW FIR LOOP,, SUITE 1-A, PORTLAND, OR 97223-8023
(503) 214-2645
(503) 620-3453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1243
OR
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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