Individual
MS. GRACE MITSU MORISHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4200
Mailing address
1812 NE HANCOCK ST, PORTLAND, OR 97212-4539
(719) 213-1840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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